Nucleic acid markers for use in determining predisposition to neoplasm and/or adenoma

ABSTRACT

The present invention relates generally to novel nucleic acid molecules, the levels and/or patterns of expression of which are indicative of the onset, predisposition to the onset and/or progression of a neoplasm and to derivatives, homologues or analogues of said molecules. More particularly, the present invention is directed to novel nucleic acid molecules, the levels of expression of which are indicative of the onset and/or progression of a gastrointestinal tract neoplasm, such as an adenoma, and to derivatives, homologues or analogues of said molecules. The present invention is further directed to isolated proteins encoded thereby and to derivatives, homologues, analogues, chemical equivalents and mimetics thereof. The molecules of the present invention are useful in a range of prophylactic, therapeutic and/or diagnostic applications including, but not limited to, those relating to the diagnosis and/or treatment of colorectal neoplasms such as colorectal adenomas. In a related aspect, the present invention is directed to a method of screening a subject for the onset, predisposition to the onset and/or progression of a neoplasm by screening for modulation in the level of expression of one or more nucleic acid molecule markers.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation application based on PCT Patent Application No. PCT/AU02/01258, filed Sep. 13, 2002, which claims priority to U.S. provisional application 60/322,288, filed Sep. 14, 2001, which is incorporated herein in its entirety.

FIELD OF THE INVENTION

The present invention relates generally to novel nucleic acid molecules, the levels and/or patterns of expression of which are indicative of the onset, predisposition to the onset and/or progression of a neoplasm and to derivatives, homologues or analogues of said molecules. More particularly, the present invention is directed to novel nucleic acid molecules, the levels of expression of which are indicative of the onset and/or progression of a gastrointestinal tract neoplasm, such as an adenoma, and to derivatives, homologues or analogues of said molecules. The present invention is further directed to isolated proteins encoded thereby and to derivatives, homologues, analogues, chemical equivalents and mimetics thereof. The molecules of the present invention are useful in a range of prophylactic, therapeutic and/or diagnostic applications including, but not limited to, those relating to the diagnosis and/or treatment of colorectal neoplasms such as colorectal adenomas. In a related aspect, the present invention is directed to a method of screening a subject for the onset, predisposition to the onset and/or progression of a neoplasm by screening for modulation in the level of expression of one or more nucleic acid molecule markers.

BACKGROUND OF THE INVENTION

Bibliographic details of the publications referred to by author in this specification are collected alphabetically at the end of the description.

The reference to any prior art in this specification is not, and should not be taken as, an acknowledgment or any form of suggestion that that prior art forms part of the common general knowledge in Australia.

Adenomas are benign tumours of epithelial origin which are derived from glandular tissue or exhibit clearly defined glandular structures. Some adenomas show recognisable tissue elements, such as fibrous tissue (fibroadenomas), while others, such as bronchial adenomas, produce active compounds giving rise to clinical syndromes. Tumours in certain organs, including the pituitary gland, are often classified by their histological staining affinities, for example eosinophil, basophil and chromophobe adenomas.

Adenomas may become carcinogenic and are then termed adenocarcinomas. Accordingly, adenocarcinomas are defined as malignant epithelial tumours arising from glandular structures, which are constituent parts of most organs of the body. This term is also applied to tumours showing a glandular growth pattern. These tumours may be sub-classified according to the substances that they produce, for example mucus secreting and serous adenocarcinomas, or to the microscopic arrangement of their cells into patterns, for example papillary and follicular adenocarcinomas. These carcinomas may be solid or cystic (cystadenocarcinomas). Each organ may produce tumours showing a variety of histological types, for example the ovary may produce both muconous and cystadenocarcinoma. In general, the overall incidence of carcinoma within an adenoma is approximately 5%. However, this is related to size and although it is rare in adenomas of less than 1 centimeter, it is estimated at 40 to 50% villous lesions which are greater than 4 centimeters. Adenomas with higher degrees of dysplasia have a higher incidence of carcinoma. Once a sporadic adenoma has developed, the chance of a new adenoma occurring is approximately 30% within 26 months.

Colorectal adenomas represent a class of adenomas which are exhibiting an increasing incidence, particularly in more affluent countries. The causes of adenoma, and its shift to adenocarcinoma, are still the subject of intensive research. To date it has been speculated that in addition to genetic predisposition, environmental factors (such as diet) play a role in the development of this condition. Most studies indicate that the relevant environmental factors relate to high dietary fat, low fibre and high refined carbohydrates.

Colonic adenomas are localised proliferations of dysplastic epithelium which are initially flat, but with increased growth from the mucosal forming adenomas. They are classified by their gross appearance as either sessile (flat) or penduculated (having a stalk). While small adenomas (less than 0.5 millimeters) exhibit a smooth tan surface, penduculated adenomas have a head with a cobblestone or lobulated red-brown surface. Sessile adenomas exhibit a more delicate villous surface. Penduculated adenomas are more likely to be tubular or tubulovillous while sessile lesions are more likely to be villous. Sessile adenomas are most common in the cecum and rectum while overall penduculated adenomas are equally split between the sigmoid-rectum and the remainder of the colon.

The etiology of adenoma of the colon, and in particular the dysplasia-adenoma-carcinoma sequence is thought to occur in the setting of increasing loss of heterozygosity in genes involved in DNA replication accuracy, tumour suppression and oncogene activation. A hereditary predisposition to cancer is found in 1% of colorectal carcinoma patients and in 5-10% of patients with Hereditary Non-Adenomatosis Polyposis. It is thought that for each lesion the loss of heterozygosity must occur in multiple genes. Currently there are a number of mechanisms proposed to account for the known environment, dietary and genetic predispositions to colorectal cancer. Although no consensus has yet been reached, loss of heterozygosity appears to be a common feature.

Adenomas are generally asymptomatic, therefore rendering difficult their early diagnosis and treatment. It is technically impossible to predict the presence or absence of carcinoma based on the gross appearance of adenomas, although larger adenomas are thought to exhibit a higher incidence of concurrent malignancy than smaller adenomas. Sessile adenomas exhibit a higher incidence of malignancy than penduculated adenomas of the same size. Some adenomas result in the production of microscopic stool blood loss. However, since stool blood can also be indicative of non-adenomatous conditions and obstructive symptoms are generally not observed in the absence of malignant change, the accurate diagnosis of adenoma is rendered difficult without the application of highly invasive procedures such as biopsy analysis. Accordingly, there is an on-going need to elucidate not only the causes of adenoma and its shift to malignancy but to develop more informative diagnostic protocols, in particular protocols which will enable the rapid, routine and accurate diagnosis of adenoma at an early stage, such as the pre-malignant stage.

To date, research has focused on the identification of gene mutations which lead to the development of adenoma. In work leading up to the present invention, however, the inventors have surprisingly determined that changes in the level of expression of unmutated genes which are also expressed in healthy individuals are indicative of adenoma development. The inventors have further determined that in relation to colorectal adenomas, diagnosis can be made based on screening for the expression of mRNA gene transcripts corresponding to any one or more of the panel of genes disclosed herein. In this regard, the inventors have still further determined that some of the genes identified herein as being expressed in healthy individuals at significantly lower levels than that observed in individuals who have developed an adenoma do not correlate with any known gene sequences. Accordingly, the inventors have identified a panel of genes which, in addition to facilitating the diagnosis of adenoma development, further facilitate the development of prophylactic and therapeutic protocols directed to modulation of their expression and functional activity and thereby the development of therapeutic and/or prophylactic protocols for treating patients at risk of or who have developed adenomas.

SUMMARY OF THE INVENTION

Throughout this specification and the claims which follow, unless the context requires otherwise, the word “comprise”, and variations such as “comprises” and “comprising”, will be understood to imply the inclusion of a stated integer or step or group of integers or steps but not the exclusion of any other integer or step or group of integers or steps.

The subject specification contains nucleotide sequence information prepared using the programme PatentIn Version 3.0, presented herein after the bibliography. Each nucleotide sequence is identified in the sequence listing by the numeric indicator <201> followed by the sequence identifier (eg. <210>1, <210>2, etc). The length, type of sequence (DNA, etc) and source organism for each nucleotide sequence is indicated by information provided in the numeric indicator fields <211>, <212> and <213>, respectively. Nucleotide sequences referred to in the specification are identified by the indicator SEQ ID NO: followed by the sequence identifier (eg. SEQ ID NO:1, SEQ ID NO:2, etc.). The sequence identifier referred to in the specification correlates to the information provided in numeric indicator field <400> in the sequence listing, which is followed by the sequence identifier (eg. <400>1, <400>2, etc). That is SEQ ID NO:1 as detailed in the specification correlates to the sequence indicated as <400>1 in the sequence listing.

A summary of the sequences detailed in this specification is provided prior to the examples.

One aspect of the present invention provides a method for determining the onset or a predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 1-2, SEQ ID     NOs: 4-6, SEQ ID NOs: 8-32, SEQ ID NOs: 35-37 or SEQ ID NO: 59 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

In another aspect of the present invention there is provided a method for determining the onset or a predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 38, SEQ ID NOs:     40-43, SEQ ID NOs: 45-49, SEQ ID NOs: 58-60, SEQ ID NO: 62, SEQ ID     NOs: 64-66, SEQ ID NOs: 68-72 or SEQ ID NOs: 337-338 or a functional     derivative, variant or homologue of said nucleic acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

In yet another aspect of the present invention there is provided a method for determining the onset or a predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 73-219 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

In still another aspect of the present invention there is provided a method for determining the onset or a predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 220-336 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

Another aspect of the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 1-2, SEQ ID     NOs: 4-6, SEQ ID NOs: 8-32, SEQ ID NOs: 35-37 or SEQ ID NO: 59 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

In another aspect, the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 38, SEQ ID NOs:     40-43, SEQ ID NOs: 45-49, SEQ ID NOs: 51-56, SEQ ID NOs: 58-60, SEQ     ID NO: 62, SEQ ID NOs: 64-66, SEQ ID NOs: 68-72 or SEQ ID NOs:     337-338 or a functional derivative, variant or homologue of said     nucleic acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

In yet another aspect the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 73-219 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

In still another aspect the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 220-336 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

In a preferred embodiment, the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any three:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 7, SEQ ID NO:     14, SEQ ID NO: 16, SEQ ID NO: 24, SEQ ID NO: 65, SEQ ID NO: 19, SEQ     ID NO: 1, SEQ ID NO: 53, SEQ ID NO: 72, SEQ ID NO: 11 or SEQ ID NO:     26 or a functional derivative, variant or homologue of said nucleic     acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any three of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule,     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

In another preferred embodiment the present invention provides a method for determining the onset or the predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any four:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 4-6, SEQ ID NO:     9, SEQ ID NO: 13, SEQ ID NO: 15, SEQ ID NOs: 21-22, SEQ ID NOs:     27-29, SEQ ID NOs: 30-31, SEQ ID NO: 36, SEQ ID NOs: 37-38, SEQ ID     NO: 40, SEQ ID NO: 43, SEQ ID NOs: 48-49, SEQ ID NO: 52, SEQ ID NO:     56, SEQ ID NO: 59, SEQ ID NO: 64, SEQ ID NOs: 68-69, SEQ ID NO: 71     or SEQ ID NO: 337 or a functional derivative, variant or homologue     of said nucleic acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule,     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

Another aspect of the present invention provides a method of monitoring for the onset or progression of a neoplasm in an individual, said method comprising measuring the level of expression of one or more adenoma markers and/or adenoma markers, as hereinbefore defined, in a biological sample from said individual wherein the level of said adenoma marker and/or adenoma marker relative to the normal level of said adenoma marker and/or adenoma marker is indicative of the onset of progression of a neoplasm.

In yet another aspect there is provided a method of monitoring for the onset or progression of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more adenoma markers and/or adenoma markers, as hereinbefore defined, in a biological sample from said individual wherein the expression profile of said adenoma markers and/or adenoma markers relative to normal expression profiles is indicative of the onset or progression of a neoplasm.

Another aspect of the present invention provides a method of classifying an adenoma, said method comprising identifying the expression pattern of one or more adenoma markers and/or adenoma markers and/or the expression levels of one or more adenoma markers and/or adenoma markers of said adenoma and correlating said adenoma marker expression results with the morphological and/or phenotypic features of said adenoma.

The present invention should also be understood to extend to the determination of an adenoma's classification status based on the known expression levels and/or expression profiles of the adenoma markers and/or adenoma markers expressed by said adenoma, and as previously identified above.

Another aspect of the present invention provides a diagnostic kit for assaying biological samples comprising an agent for detecting one or more adenoma markers and/or adenoma markers and reagents useful for facilitating the detection by said agent.

A related aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 1 or SEQ ID NO: 6 or SEQ ID NOs: 8-10 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 1 or SEQ ID NO: 6 or SEQ ID NOs: 8-10 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 4 or SEQ ID NO: 5 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 4 or SEQ ID NO: 5 under low stringency conditions at 42° C.

Still yet another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 7 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 7 under low stringency conditions at 42° C.

Yet still another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 11-13 or SEQ ID NOs: 15-16 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 11-13 or SEQ ID NOs: 15-16 under low stringency conditions at 42° C.

A further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 14 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 14 under low stringency conditions at 42° C.

Another further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 17-19 or SEQ ID NOs: 22-23 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 17-19 or SEQ ID NOs: 22-23 under low stringency conditions at 42° C.

Yet another further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 20 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 20 under low stringency conditions at 42° C.

Still yet another further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 21 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 21 under low stringency conditions at 42° C.

Yet still another further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 24-26, SEQ ID NO: 31 or SEQ ID NOs: 35-37 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 24-26, SEQ ID NO: 31 or SEQ ID NOs: 35-37 under low stringency conditions at 42° C.

Another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 27, SEQ ID NO: 28 or SEQ ID NO: 29 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 27, SEQ ID NO: 28 or SEQ ID NO: 29 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 30 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 30 under low stringency conditions at 42° C.

Still another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 59 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 59 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 73-145 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 73-145 under low stringency conditions at 42° C.

A further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 146-219 or SEQ ID NO: 336 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 146-219 or SEQ ID NO: 336 under low stringency conditions at 42° C.

Yet another aspect of the present invention is directed to an isolated protein selected from the list consisting of:

-   (i) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NO: 1, SEQ     ID NO: 6 or SEQ ID NOs: 8-10 or a derivative, homologue, analogue,     chemical equivalent or mimetic or said protein. -   (ii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NO: 4 or SEQ     ID NO: 5 or a derivative, homologue, analogue, chemical equivalent     or mimetic or said protein. -   (iii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in SEQ ID NO: 7 or a derivative,     homologue, analogue, chemical equivalent or mimetic or said protein. -   (iv) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NOs: 11-13     or SEQ ID NOs: 15-16 or a derivative, homologue, analogue, chemical     equivalent or mimetic or said protein. -   (v) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in SEQ ID NO: 14 or a derivative,     homologue, analogue, chemical equivalent or mimetic or said protein. -   (vi) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NOs: 17-19     or SEQ ID NOs: 22-23 or a derivative, homologue, analogue, chemical     equivalent or mimetic or said protein. -   (vii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in SEQ ID NO: 20 or a derivative,     homologue, analogue, chemical equivalent or mimetic or said protein. -   (viii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in SEQ ID NO: 21 or a derivative,     homologue, analogue, chemical equivalent or mimetic or said protein. -   (ix) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NOs: 24-26,     SEQ ID NO: 31 or SEQ ID NOs: 35-37 or a derivative, homologue,     analogue, chemical equivalent or mimetic or said protein. -   (x) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NO: 27 or     SEQ ID NO: 28 or SEQ ID NO: 29 or a derivative, homologue, analogue,     chemical equivalent or mimetic or said protein. -   (xi) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     capable of hybridising to any one or more of the nucleotide     sequences as set forth in SEQ ID NO: 30 or a derivative, homologue     or analogue thereof under low stringency conditions or a derivative,     homologue, analogue, chemical equivalent or mimetic of said protein. -   (xii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     capable of hybridising to any one or more of the nucleotide     sequences as set forth in SEQ ID NO: 59 or a derivative, homologue     or analogue thereof under low stringency conditions or a derivative,     homologue, analogue, chemical equivalent or mimetic of said protein. -   (xiii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     capable of hybridising to any one or more of the nucleotide     sequences as set forth in any one or more of SEQ ID NOs: 73-145 or a     derivative, homologue or analogue thereof under low stringency     conditions or a derivative, homologue, analogue, chemical equivalent     or mimetic of said protein. -   (xiv) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     capable of hybridising to any one or more of the nucleotide     sequences as set forth in any one or more of SEQ ID NOs: 146-219 or     SEQ ID NO: 336 or a derivative, homologue or analogue thereof under     low stringency conditions or a derivative, homologue, analogue,     chemical equivalent or mimetic of said protein.

The present invention contemplates a method for the treatment and/or prophylaxis of a condition characterised by aberrant, unwanted or otherwise inappropriate cell growth in a subject, said method comprising administering to said subject an effective amount of an agent for a time and under conditions sufficient to modulate adenoma marker expression and/or adenoma marker functional activity.

Another aspect of the present invention contemplates the use of an agent as hereinbefore defined in the manufacture of a medicament for the treatment of a condition in a manual, which condition is characterised by the aberrant, unwanted or otherwise inappropriate cell growth wherein said agent modulates adenoma marker functional activity or adenoma marker expression.

In yet another further aspect, the present invention contemplates a pharmaceutical composition comprising a modulatory agent as hereinbefore defined and one or more pharmaceutically acceptable carriers and/or diluents. Said modulatory agents are referred to as the active ingredients.

Yet another aspect of the present invention relates to modulatory agents, as hereinbefore defined, when used in the method of the present invention.

Still another aspect of the present invention is directed to antibodies to adenoma markers or adenoma markers including catalytic antibodies.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a graphical representation of the plot of 8-2d vs 11-10a demonstrating two dimensional cluster analysis;

FIG. 2 is a graphical representation of a close up of the graph depicted in FIG. 1, highlighting missed tissues using markers 8-2d and 11-10a;

FIG. 3 is a graphical representation of tissues missed by all sets of 3 and 4 markers that provide >=69/71 correct classifications;

FIG. 4 is a schematic representation of an annotated view of S100P;

FIG. 5 is a schematic representation of an annotated view of Defensin α-6;

FIG. 6 is a schematic representation of an annotated view of GIF;

FIG. 7 is a schematic representation of an annotated view of Reg IV;

FIG. 8 is a schematic representation of an annotated view of GW112;

FIG. 9 is a schematic representation of an annotated view of Claudin-2;

FIG. 10 is a schematic representation of an annotated view of SLC12A2;

FIG. 11 is a schematic representation of an annotated view of TGFBI; and

FIG. 12 is a schematic representation of an annotated view of Transposon L1.1.

DETAILED DESCRIPTION OF THE INVENTION

The present invention is predicated, in part, on the identification of genetic molecules which have been determined to be expressed at either higher levels or in unique co-expression profiles in individuals who have developed an adenoma than in unaffected individuals. The inventors have still further determined that a proportion of these genetic molecules represent novel genetic molecules. The identification of this population of genetic molecules has now permitted the development of diagnostic methodology based thereon and, further, the identification and rational design of a range of products for use in therapy, prophylaxis, diagnosis and antibody generation.

Accordingly, one aspect of the present invention provides a method for determining the onset or a predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 1-2, SEQ ID     NOs: 4-6, SEQ ID NOs: 8-32, SEQ ID NOs: 35-37 or SEQ ID NO: 59 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

In another aspect of the present invention there is provided a method for determining the onset or a predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 38, SEQ ID NOs:     40-43, SEQ ID NOs: 45-49, SEQ ID NOs: 58-60, SEQ ID NO: 62, SEQ ID     NOs: 64-66, SEQ ID NOs: 68-72 or SEQ ID NOs: 337-338 or a functional     derivative, variant or homologue of said nucleic acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

In yet another aspect of the present invention there is provided a method for determining the onset or a predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 73-219 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

In still another aspect of the present invention there is provided a method for determining the onset or a predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 220-336 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

Reference to “neoplasm” should be understood as a reference to a lesion, tumour or other encapsulated or unencapsulated mass or other form of growth which comprises neoplastic cells. A “neoplastic cell” should be understood as a reference to a cell exhibiting abnormal growth. The term “growth” should be understood in its broadest sense and includes reference to proliferation. In this regard, an example of abnormal cell growth is the uncontrolled proliferation of a cell. The neoplastic cell may be a benign cell or a malignant cell. In a preferred embodiment, the subject neoplasm is an adenoma. Without limiting the present invention to any one theory or mode of action, an adenoma is generally a benign tumour of epithelial origin which is either derived from glandular tissue or exhibits clearly defined glandular structures. It can comprise a malignant cell population within the adenoma, such as occurs in the shift of a benign adenoma to a malignant adenocarcinoma. Some adenomas exhibit recognisable tissue elements, such a fibrous tissue, while others produce active compounds giving rise to clinical syndrome. Preferably, said adenoma is a gastrointestinal tract adenoma and even more preferably a colorectal adenoma such as a tubular adenoma, tubulovillous adenoma or villous adenoma. Still more preferably, said adenoma is a tubular adenoma, tubulovillous adenoma or villous adenoma greater than 10 mm in diameter.

As detailed hereinbefore, it has been determined that modulation in the level of expression or pattern of expression of the nucleic acid molecules detailed above correlates with the development of, or a predisposition to the development of an adenoma, in particular a colorectal adenoma. For ease of reference, these nucleic acid molecules are sometimes herein collectively referred to as “adenoma markers”. The expression products of the adenoma marker nucleic acid molecules are herein collectively referred to in non-italicised text as “adenoma markers”.

Reference to “expression” should be understood as a reference to the transcription and/or translation of a nucleic acid molecule. In this regard, the present invention is exemplified with respect to screening for adenoma markers taking the form of mRNA transcripts. Without limiting the present invention in any way, the up-regulation of gene transcription leading to increased mRNA synthesis will also correlate with translation of these mRNA transcripts to produce an expression product. Accordingly, the present invention also extends to adenoma diagnostic methodology which is directed to screening for elevated levels or patterns of expression of the adenoma marker expression products as an indicator of the development of, or predisposition to the development of, an adenoma. Although the preferred method is to screen for mRNA transcripts and/or the corresponding expression product, it should be understood that the present invention is not limited in this regard and extends to screening for any other form of adenoma marker or its protein expression product such as, for example, a primary RNA transcript. It is well within the skills of the person of skill in the art to determine the most appropriate screening target for any given situation.

Reference to “nucleic acid molecule” should be understood as a reference to both deoxyribonucleic acid molecules and ribonucleic acid molecules. Without limiting the present invention to any one theory or mode of action, the nucleotide sequences disclosed herein are cDNA sequences which correspond to partial or whole mRNA gene transcripts, the concentrations of any one or more of which are elevated greater than 2-fold in individuals exhibiting gastrointestinal tract adenoma development, as compared to unaffected individuals. The present invention therefore extends to both directly screening for mRNA levels in a biological sample or screening for the complimentary cDNA which has been reverse-transcribed from an mRNA population of interest. It is well within the skill of the person of skill in the art to design methodology directed to screening for either DNA or RNA. As detailed above, the method of the present invention also extends to screening for the protein expression product translated from the subject mRNA.

Reference to “biological sample” should be understood as a reference to any sample of biological material derived from an individual such, but not limited to, mucus, stool, urine, blood, serum, biopsy specimens and fluid which has been introduced into the body of an individual and subsequently removed such as, for example, the saline solution extracted from the lung following lung lavage or the solution retrieved from an enema wash. The biological sample which is tested according to the method of the present invention may be tested directly or may require some form of treatment prior to testing. For example, a biopsy sample may require homogenisation prior to testing. To the extent that the neoplasm of interest is a gastrointestinal tract adenoma, the biological sample is preferably a stool sample or any other biological sample of gastrointestinal origin. Where the sample comprises cellular material, it may be necessary to extract or otherwise expose the nucleic acid material present in the cellular material in order to facilitate interaction of a probe with the test sample.

Without limiting the present invention to any one theory or mode of action, it has been determined that, based on a single marker analysis, the adenoma markers detailed herein exhibit an upregulation in levels of expression in individuals with adenoma versus those without. The level of upregulation varied from 2 fold to upwards of 200 fold.

Accordingly, in a preferred embodiment the present invention provides a method for determining the onset or the predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecule comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 2 or 30 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

Without limiting the present invention to any one theory or mode of action, it has been determined that these adenoma markers are expressed in excess of 100 fold. Further, it has been determined that the nucleic acid molecule defined by SEQ ID NO: 2 corresponds to the gene Claudin 2 and expresses the protein product detailed in SEQ ID NO: 3.

In another embodiment, the present invention provides a method for determining the onset or the predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 7, SEQ ID NO:     14, SEQ ID NOs: 20-21, SEQ ID NOs: 27-29, SEQ ID NO: 38, SEQ ID NO:     43, SEQ ID NO: 49, SEQ ID NOs: 60-62 or SEQ ID NO: 66 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

Without limiting the present invention to any one theory or mode of action, it has been determined that these adenoma markers are expressed at levels of between 10-100 fold above normal levels. Further, it has been determined that a number of the subject nucleic acid molecules correspond to known genes as follows:

-   -   SEQ ID NO: 43 corresponds to the gene encoding gastric intrinsic         factor and expresses the protein product detailed in SEQ ID NO:         44.     -   SEQ ID NO: 49 corresponds to defensin α-6 (paneth cell specific)         and expresses the protein product detailed in SEQ ID NO: 50.     -   SEQ ID NO: 66 corresponds to the gene encoding solute carrier         family 12, member 2 and expresses the protein product detailed         in SEQ ID NO: 67.     -   SEQ ID NO: 38 corresponds to the gene encoding regenerating         protein IV and expresses the protein product detailed in SEQ ID         NO: 39.     -   SEQ ID NO: 60 corresponds to the gene encoding GW112 protein and         expresses the protein product detailed in SEQ ID NO: 61.     -   SEQ ID NO: 62 corresponds to the gene encoding S100 calcium         binding protein P and expresses the protein product detailed in         SEQ ID NO: 63.

In yet another embodiment, the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 5, SEQ ID NO: 9,     SEQ ID NO: 17, SEQ ID NO: 32, SEQ ID NO: 38, SEQ ID NO: 53, SEQ ID     NO: 56, SEQ ID NO: 64 or SEQ ID NO: 68 or a functional derivative,     variant or homologue of said nucleic acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

Without limiting the present invention to any one theory or mode of action, it has been determined that these adenoma markers are expressed at levels between 4.5-10.5 fold above normal levels. Further, it has been determined that the nucleic acid molecule defined by SEQ ID NO: 56 corresponds to the gene transforming growth factor β and expresses the protein product detailed in SEQ ID NO: 57. It has also been determined that the nucleic acid molecule defined by SEQ ID NO: 32 corresponds to the gene encoding transposon L1.1 and expresses the protein product detained in SEQ ID NOs: 33 and 34.

In still another embodiment, the present invention provides a method for determining the onset or the predisposition to the onset of a neoplasm in an individual, said method comprising measuring the level of expression of one or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 4, SEQ ID NO: 8,     SEQ ID NO: 12, SEQ ID NOs: 18-19, SEQ ID NO: 31, SEQ ID NOs: 35-36,     SEQ ID NOs: 40-41, SEQ ID NOs: 45-46 or SEQ ID NOs: 51-52, SEQ ID     NOs: 54-55, SEQ ID NO: 59, SEQ ID NO: 65, SEQ ID NO: 72 or SEQ ID     NOs: 337-338 or a functional derivative, variant or homologue of     said nucleic acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any one or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in a biological sample from said individual wherein an increase in     the level of expression of said nucleic acid molecule relative to     the normal level of expression of said nucleic acid molecule in an     individual is indicative of the onset or predisposition to the onset     of a neoplasm.

Without limiting the present invention to any one theory or mode of action, it has been determined that these adenoma markers are expressed in excess of 1.5-4 fold.

In another most preferred embodiment, the subject nucleotide sequence is SEQ ID NO: 2, SEQ ID NO: 7, SEQ ID NO: 14, SEQ ID NOs: 20-21, SEQ ID NOs: 27-29, SEQ ID NO: 30, SEQ ID NO: 32, SEQ ID NO: 38, SEQ ID NO: 43, SEQ ID NO: 49, SEQ ID NO: 53, SEQ ID NO: 56, SEQ ID NO: 60, SEQ ID NO: 62 or SEQ ID NO: 66.

In yet another most preferred embodiment the subject nucleotide sequence is SEQ ID NO: 2, SEQ ID NO: 5, SEQ ID NO: 7, SEQ ID NO: 9, SEQ ID NO: 14, SEQ ID NO: 17, SEQ ID NO: 20, SEQ ID NOs: 27-29, SEQ ID NO: 38, SEQ ID NO: 43, SEQ ID NO: 49, SEQ ID NO: 53, SEQ ID NO: 56, SEQ ID NO: 60, SEQ ID NO: 62, SEQ ID NO: 64, SEQ ID NO: 66 or SEQ ID NO: 68.

In still yet another preferred embodiment, the subject nucleotide sequence is SEQ ID NO: 2, SEQ ID NO: 7, SEQ ID NO: 14, SEQ ID NO: 17, SEQ ID NO: 20, SEQ ID NOs: 27-29, SEQ ID NO: 38, SEQ ID NO: 43, SEQ ID NO: 49, SEQ ID NO: 53, SEQ ID NO: 56, SEQ ID NO: 60, SEQ ID NO: 62 or SEQ ID NO: 66.

Most preferably, the subject nucleotide sequence is SEQ ID NO: 2, SEQ ID NO: 7, SEQ ID NO: 14, SEQ ID NO: 43 or SEQ ID NO: 62.

The method of the present invention is predicated on the correlation of levels of adenoma markers and/or adenoma markers in individuals with normal levels of said markers. The “normal level” is either the level of adenoma marker or adenoma marker in a corresponding biological sample of an individual who has not developed an adenoma nor is predisposed to the development of an adenoma or is the level in a non-adenomous tissue which is derived from the patient who is the subject of testing. This latter method of analysis is a relative form of analysis in terms of the normal and test levels being determined from non-adenomatous and test tissues, respectively, derived from a single individual. However, the method of the present invention should also be understood to encompass non-relative analyses means such as the analysis of test results relative to a standard result which reflects individual or collective results obtained from healthy individuals, other than the patient in issue. Said “normal level” may be a discrete level or a range of levels. Individuals exhibiting adenoma marker and/or adenoma marker levels higher than the normal range are generally regarded as having undergone the onset of adenoma development or may be predisposed to the onset of adenoma development.

It should be understood that the “individual” who is the subject of testing may be any human or nonhuman manual. Examples of non-human mammals includes primates, livestock animals (e.g. horses, cattle, sheep, pigs, donkeys), laboratory test animals (e.g. mice, rats, rabbits, guinea pigs), companion animals (e.g. dogs, cats) and captive wild animals (e.g. kangaroos, deer, foxes). Preferably the mammal is a human.

In addition to modulation of the level of expression of any one or more adenoma markers relative to the levels of expression which are normally observed, the inventors have also surprisingly determined that irrespective of the actual level of expression of any given adenoma marker, the expression, per se, of some adenoma markers in combination with other adenoma markers in an individual is indicative of the development of or a predisposition to the development of an adenoma. For example, there can occur similar expression profiles within tissues of the same type, such expression profiles being differentiable from the expression profiles in other tissue types. It should be understood that the level of expression itself is not the unique identifier and may equate to more, less or equal to that which is expressed by healthy individuals. Of relevance is the occurrence of any level of expression in combination with other specified markers. The identification of these profile analyses is consistent with current biological understanding that in some situations it is the co-expression of more than one gene which actually causes the development of a given condition. This is certainly consistent with what is known of the complexity of the genomic network. The identification of the diagnostic profiles disclosed herein provides a highly sophisticated means of accurately diagnosing the existence of or predisposition to the development of an adenoma in an individual.

Accordingly, another aspect of the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 1-2, SEQ ID     NOs: 4-6, SEQ ID NOs: 8-32, SEQ ID NOs: 35-37 or SEQ ID NO: 59 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

In another aspect, the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 38, SEQ ID NOs:     40-43, SEQ ID NOs: 45-49, SEQ ID NOs: 51-56, SEQ ID NOs: 58-60, SEQ     ID NO: 62, SEQ ID NOs: 64-66, SEQ ID NOs: 68-72 or SEQ ID NOs:     337-338 or a functional derivative, variant or homologue of said     nucleic acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

In yet another aspect the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 73-219 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

In still another aspect the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 220-336 or a     functional derivative, variant or homologue of said nucleic acid     molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

Reference to “co-expression” should be understood as a reference to the simultaneous expression of the subject adenoma marker or its expression product. In this regard the onset of co-expression may be simultaneous or it may be staggered. By “staggered” is meant that changes in the gene expression level of one gene occurs at a different time point (ie. either earlier or later) than the change in expression level of other gene or genes. Accordingly, “co-expression” is defined as the subject genes being simultaneously expressed for at least part of the time frame during which each gene is expressed, even if the subject expression is not commenced and concluded simultaneously. The method of the present invention is directed to detecting these periods of co-expression. It should be understood that although it is preferred that the co-expressed nucleic acid molecules are detectable in the one biological sample, for example a stool sample, they may only be detectable in two separate but simultaneously harvested tissue samples. For example, one adenoma marker may be detectable in a stool sample and the other in a blood sample. It should be understood that such tissue specific expression, which is nevertheless characterised by a period of simultaneous expression, is an example of co-expression within the meaning defined herein.

In a preferred embodiment, the present invention provides a method for determining the onset or predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any three:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NO: 7, SEQ ID NO:     14, SEQ ID NO: 16, SEQ ID NO: 24, SEQ ID NO: 65, SEQ ID NO: 19, SEQ     ID NO: 1, SEQ ID NO: 53, SEQ ID NO: 72, SEQ ID NO: 11 or SEQ ID NO:     26 or a functional derivative, variant or homologue of said nucleic     acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any three of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule,     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

Preferably, the subject nucleotide sequences are co-expressed as a profile of three, which profile is selected from the list of:

-   (i) SEQ ID NO:7 and SEQ ID NO: 72 and SEQ ID NO: 11; -   (ii) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 26; -   (iii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 16; -   (iv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 1; -   (v) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 24; or -   (vi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 16.

Still more preferably, the subject nucleotide sequences are co-expressed as a profile of three, which profile is selected from the list of:

-   (i) SEQ ID NO:7 and SEQ ID NO: 56 and SEQ ID NO: 11; -   (ii) SEQ ID NO:7 and SEQ ID NO: 64 and SEQ ID NO: 11; -   (iii) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 11; -   (iv) SEQ ID NO:7 and SEQ ID NO: 9 and SEQ ID NO: 11; or -   (v) SEQ ID NO:7 and SEQ ID NO: 14 and SEQ ID NO: 11.

In another preferred embodiment the present invention provides a method for determining the onset or the predisposition to the onset of a neoplasm in an individual, said method comprising detecting the co-expression of any four:

-   (i) nucleic acid molecules comprising a nucleotide sequence     substantially as set forth in any one of SEQ ID NOs: 4-6, SEQ ID NO:     9, SEQ ID NO: 13, SEQ ID NO: 15, SEQ ID NOs: 21-22, SEQ ID NOs:     27-29, SEQ ID NOs: 30-31, SEQ ID NO: 36, SEQ ID NOs: 37-38, SEQ ID     NO: 40, SEQ ID NO: 43, SEQ ID NOs: 48-49, SEQ ID NO: 52, SEQ ID NO:     56, SEQ ID NO: 59, SEQ ID NO: 64, SEQ ID NOs: 68-69, SEQ ID NO: 71     or SEQ ID NO: 337 or a functional derivative, variant or homologue     of said nucleic acid molecule; or -   (ii) nucleic acid molecules comprising a nucleotide sequence capable     of hybridising any two or more of the sequences of (i) under low     stringency conditions at 42° C. or a functional derivative, variant     or homologue of said nucleic acid molecule,     in one or more biological samples from said individual wherein the     co-expression of said nucleic acid molecules is indicative of the     onset or predisposition to the onset of a neoplasm.

Still more preferably, the subject nucleotide sequences are co-expressed as a profile of four, which profile is selected from the list of:

-   (i) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 24 and SEQ ID NO:     65; -   (ii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 24 and SEQ ID NO:     19; -   (iii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 53 and SEQ ID     NO: 1; -   (iv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 16 and SEQ ID NO:     19; -   (v) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 16 and SEQ ID NO:     46; or -   (vi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 65 and SEQ ID NO:     1.

In another most preferred embodiment, the subject nucleotide sequences are co-expressed as a profile of four, which profile is selected from the list of:

-   (i) SEQ ID NO: 30 and SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO:     1; -   (ii) SEQ ID NO: 7 and SEQ ID NO: 43 and SEQ ID NO: 14 and SEQ ID NO:     24; -   (iii) SEQ ID NO: 7 and SEQ ID NO: 43 and SEQ ID NO: 59 and SEQ ID     NO: 1; -   (iv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 49 and SEQ ID NO:     24; -   (v) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 49 and SEQ ID NO:     16; -   (vi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 49 and SEQ ID NO:     1; -   (vii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 21 and SEQ ID     NO: 16; -   (viii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 21 and SEQ ID     NO: 1; -   (ix) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NOs: 27-29 and SEQ ID     NO: 24; -   (x) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NOs: 27-29 and SEQ ID     NO: 16; -   (xi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NOs: 27-29 and SEQ ID     NO: 1; -   (xii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 56 and SEQ ID     NO: 1; -   (xiii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 9 and SEQ ID     NO: 24; -   (xiv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 9 and SEQ ID NO:     37; -   (xv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 9 and SEQ ID NO:     16; -   (xvi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 9 and SEQ ID NO:     1; -   (xvii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 24 and SEQ ID     NO: 16; -   (xviii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 24 and SEQ ID     NO: 46; -   (xix) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 24 and SEQ ID     NO: 1; or -   (xx) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 24 and SEQ ID NO:     337.

In yet another most preferred embodiment, the subject nucleotide sequences are co-expressed as a profile of four, which profile is selected from the list of:

-   (i) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 5 and SEQ ID NO:     1; -   (ii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 65 and SEQ ID NO:     16; -   (iii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 65 and SEQ ID     NO: 1; -   (iv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 53 and SEQ ID NO:     37; -   (v) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 53 and SEQ ID NO:     48; -   (vi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 68 and SEQ ID NO:     1; -   (vii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 31 and SEQ ID     NO: 1; -   (viii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 69 and SEQ ID     NO: 16; -   (ix) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 69 and SEQ ID NO:     1; -   (x) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 52 and SEQ ID NO:     1: -   (xi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 16 and SEQ ID NO:     337; -   (xii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 16 and SEQ ID     NO: 71; -   (xiii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 36 and SEQ ID     NO: 1; -   (xiv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 19 and SEQ ID     NO: 1; -   (xv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 40 and SEQ ID NO:     1; -   (xvi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 22 and SEQ ID     NO: 1; -   (xvii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 46 and SEQ ID     NO: 1; -   (xviii) SEQ ID NO: 7 and SEQ ID NOs: 27-29 and SEQ ID NO: 24 and SEQ     ID NO: 4; -   (xix) SEQ ID NO: 7 and SEQ ID NOs: 27-29 and SEQ ID NO: 65 and SEQ     ID NO: 11; or -   (xx) SEQ ID NO: 7 and SEQ ID NO: 38 and SEQ ID NO: 64 and SEQ ID NO:     13.

In still another most preferred embodiment, the subject nucleotide sequences are co-expressed as a profile of four, which profile is selected from the list of:

-   (i) SEQ ID NO: 7 and SEQ ID NO:9 and SEQ ID NO: 68 and SEQ ID NO:     11; -   (ii) SEQ ID NO: 7 and SEQ ID NO: 24 and SEQ ID NO: 69 and SEQ ID NO:     11; -   (iii) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 53 and SEQ ID     NO: 11; -   (iv) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 68 and SEQ ID NO:     11; -   (v) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 69 and SEQ ID NO:     13; -   (vi) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 36 and SEQ ID NO:     13; -   (vii) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 11 and SEQ ID     NO: 337; -   (viii) SEQ ID NO: 7 and SEQ ID NO: 53 and SEQ ID NO: 72 and SEQ ID     NO: 11; -   (ix) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 26 and SEQ ID NO:     46; -   (x) SEQ ID NO:7 and SEQ ID NO: 72 and SEQ ID NO: 36 and SEQ ID NO:     11; -   (xi) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 46 and SEQ ID NO:     11; -   (xii) SEQ ID NO: 7 and SEQ ID NO: 69 and SEQ ID NO: 46 and SEQ ID     NO:11; -   (xiii) SEQ ID NO: 43 and SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID     NO: 24; -   (xiv) SEQ ID NO: 43 and SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID     NO: 16; -   (xv) SEQ ID NO: 43 and SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO:     1; -   (xvi) SEQ ID NO: 43 and SEQ ID NO: 7 and SEQ ID NOs: 27-29 and SEQ     ID NO: 24; -   (xvii) SEQ ID NO: 43 and SEQ ID NO: 7 and SEQ ID NO: 36 and SEQ ID     NO: 11; -   (xviii) SEQ ID NO: 43 and SEQ ID NO: 7 and SEQ ID NO: 59 and SEQ ID     NO: 1; -   (xix) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 49 and SEQ ID     NO: 24; or -   (xx) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 49 and SEQ ID NO:     22.

In yet still another most preferred embodiment, the subject nucleotide sequences are co-expressed as a profile of four, which profile is selected from the list of:

-   (i) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 49 and SEQ ID NO:     1; -   (ii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 56 and SEQ ID NO:     1; -   (iii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 56 and SEQ ID     NO: 1; -   (iv) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 9 and SEQ ID NO:     1; -   (v) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 24 and SEQ ID NO:     19; -   (vi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 65 and SEQ ID NO:     37; -   (vii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 53 and SEQ ID     NO: 48; -   (viii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 53 and SEQ ID     NO: 1; -   (ix) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 72 and SEQ ID NO:     1; -   (x) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 69 and SEQ ID NO:     16; -   (xi) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 16 and SEQ ID NO:     19; -   (xii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 19 and SEQ ID     NO: 1; -   (xiii) SEQ ID NO: 7 and SEQ ID NO: 14 and SEQ ID NO: 1 and SEQ ID     NO: 71; -   (xiv) SEQ ID NO: 7 and SEQ ID NO: 49 and SEQ ID NO: 64 and SEQ ID     NO: 11; -   (xv) SEQ ID NO: 7 and SEQ ID NO: 38 and SEQ ID NO: 56 and SEQ ID NO:     13; -   (xvi) SEQ ID NO: 7 and SEQ ID NO: 38 and SEQ ID NO: 56 and SEQ ID     NO: 13; -   (xvii) SEQ ID NO: 7 and SEQ ID NO: 56 and SEQ ID NO: 64 and SEQ ID     NO: 11; -   (xviii) SEQ ID NO: 7 and SEQ ID NO: 56 and SEQ ID NO: 53 and SEQ ID     NO: 6: -   (xix) SEQ ID NO: 7 and SEQ ID NO: 9 and SEQ ID NO: 64 and SEQ ID NO:     16; or -   (xx) SEQ ID NO: 7 and SEQ ID NO: 9 and SEQ ID NO: 64 and SEQ ID NO:     13.

In still yet another most preferred embodiment, the subject nucleotide sequences are co-expressed as a profile of four, which profile is selected from the list of:

-   (i) SEQ ID NO: 7 and SEQ ID NO: 9 and SEQ ID NO: 68 and SEQ ID NO:     11; -   (ii) SEQ ID NO: 7 and SEQ ID NO: 24 and SEQ ID NO: 72 and SEQ ID NO:     13; -   (iii) SEQ ID NO: 7 and SEQ ID NO: 24 and SEQ ID NO: 72 and SEQ ID     NO: 46; -   (iv) SEQ ID NO: 7 and SEQ ID NO: 24 and SEQ ID NO: 72 and SEQ ID NO:     71; -   (v) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 72 and SEQ ID NO:     16; -   (vi) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 68 and SEQ ID NO:     11; -   (vii) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 69 and SEQ ID     NO: 11; -   (viii) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 19 and SEQ ID     NO: 11; -   (ix) SEQ ID NO: 7 and SEQ ID NO: 64 and SEQ ID NO: 13 SEQ ID NO: 11: -   (x) SEQ ID NO: 7 and SEQ ID NO: 53 and SEQ ID NO: 72 and SEQ ID NO:     11; -   (xi) SEQ ID NO: 7 and SEQ ID NO: 53 and SEQ ID NO: 15 and SEQ ID NO:     11; -   (xii) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 68 and SEQ ID     NO: 11; -   (xiii) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 69 and SEQ ID     NO: 1; -   (xiv) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 36 and SEQ ID     NO: 11; -   (xv) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 19 and SEQ ID NO:     11; -   (xvi) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 46 and SEQ ID     NO: 11; -   (xvii) SEQ ID NO: 7 and SEQ ID NO: 72 and SEQ ID NO: 46 and SEQ ID     NO: 1; -   (xviii) SEQ ID NO: 7 and SEQ ID NO: 68 and SEQ ID NO: 16 and SEQ ID     NO: 36; or -   (xix) SEQ ID NO:7 and SEQ ID NO: 68 and SEQ ID NO: 36 and SEQ ID NO:     11.

In yet still another preferred embodiment, the subject nucleotide sequences are co-expressed as a profile of five.

In a further preferred embodiment, the subject nucleotide sequences are co-expressed as a profile of six.

In still yet a further preferred embodiment, the subject nucleotide sequences are co-expressed as a profile of more than 6.

In accordance with these preferred embodiments, the subject neoplasm is preferably an adenoma and even more preferably a colorectal adenoma.

As detailed hereinbefore, it should be understood that although the present invention is exemplified with respect to the detection of nucleic acid molecules, it also encompasses methods of detection based on screening for the expression product of the subject adenoma markers or derivatives thereof. The present invention should also be understood to mean methods of screening based on identifying either protein product and nucleic acid material in one or more biological samples. However, it should be understood that some of the adenoma markers may correlate to genes or gene fragments which do not encode a protein expression product. Accordingly, to the extent that this occurs it would not be possible to screen for an expression product and the subject marker must be assessed on the basis of nucleic acid expression profiles.

Without limiting the present invention in any way, the following expression products are exemplified herein:

-   (i) SEQ ID NO: 2 corresponds to the claudin 2 gene and encodes the     expression product detailed in SEQ ID NO: 3; -   (ii) SEQ ID NO: 32 corresponds to the transposon L1.1 gene and     encodes the expression product detailed in SEQ ID NOs: 33 and 34; -   (iii) SEQ ID NO: 38 corresponds to the regenerating protein IV gene     and encodes the expression product detailed in SEQ ID NO: 39; -   (iv) SEQ ID NO: 43 corresponds to the gastric intrinsic factor gene     and encodes the expression product detailed in SEQ ID NO: 44; -   (v) SEQ ID NO: 49 corresponds to the defensin α6 gene (paneth cell     specific) and encodes the expression product detailed in SEQ ID NO:     50; -   (vi) SEQ ID NO: 56 corresponds to the TGF β1 gene and encodes the     expression product detailed in SEQ ID NO: 57; -   (vii) SEQ ID NO: 60 corresponds to the GW112 gene and encodes the     expression product detailed in SEQ ID NO: 61 -   (viii) SEQ ID NO: 62 corresponds to the S100P gene and encodes the     expression product detailed in SEQ ID NO: 63; -   (ix) SEQ ID NO: 66 corresponds to the SLC12A1 gene and encodes the     expression product detailed in SEQ ID NO: 67.

Further details in relation to each of these genes and proteins are provided in Example 6.

“Derivatives” should be understood to have the same meaning as hereinafter provided. Reference to a “functional derivative” should be understood as a reference to a derivative which, in accordance with the teachings provided herein, is indicative of the development of a neoplasm, in particular adenoma. In particular, however, the subject derivative may be a partially degraded or denatured molecule. For example, the mRNA which is screened for in stool samples in accordance with the exemplification provided herein is likely to lack the polyA tail which generally characterises a mRNA transcript. In another example, proteinaceous adenoma markers may be fragmented, denatured (for example due to breakdown of disulphide bonds) or may be otherwise degraded. This is likely to be the case, for example, where the biological sample which is the subject of screening comprises proteinases, such as are sometimes found in urine.

Reference herein to adenoma markers or adenoma markers (either collectively or in terms of specific SEQ ID NOs) should be read as including reference to all forms of these molecules and to functional derivatives, variants or homologues thereof, in the context of the diagnostic aspects of the present invention. Accordingly, reference to adenoma markers should be understood to include reference to isoforms which arise from alternative splicing of the adenoma marker mRNA or mutants or polymorphic variants of the adenoma markers. In this regard, for example, it is particularly significant to note that the markers exemplified herein have been derived from individual tissue. However, some genes are known to exhibit allelic variation between individuals. Accordingly, the present invention should be understood to extend to such variants which, in terms of the concept of the present diagnostic applications, achieve the same outcome despite the fact that minor genetic variants between the actual nucleic acid sequences may exist between individuals. Accordingly, the present invention should be understood to extend to all mRNA, cDNA and peptide isoforms which arise from alternative splicing or any other mutation or polymorphic variation.

Reference to the “onset” of a neoplasm, preferably adenoma development, should be understood as a reference to one or more cells of that individual exhibiting abnormal growth characteristic. In this regard, the adenoma may be well developed in that a mass of proliferating cells has developed. Alternatively, the adenoma may be at a very early stage in that only relatively few abnormal cell divisions have occurred at the time of diagnosis. The present invention also extends to the assessment of an individual's predisposition to the development of a neoplasm, such as an adenoma. Without limiting the present invention in any way, increased levels of or expression profiles of adenoma markers or adenoma markers in an individual who has not undergone the onset of adenoma development may be indicative of that individual's predisposition to developing an adenoma, such as the imminent development of an adenoma.

Although the preferred method is to detect the expression of adenoma markers and/or adenoma markers for the purpose of diagnosing adenoma development or predisposition thereto, the detection of a decrease in the levels of or down-regulation of expression profiles said markers may be desired under certain circumstances, for example, to monitor the effectiveness of therapeutic or prophylactic treatment directed to modulating a neoplastic condition, such as adenoma development. For example, where elevated levels of adenoma markers and/or adenoma markers indicated that an individual had developed a condition characterised by adenoma development, screening for a decrease in the levels of these markers subsequently to the onset of a therapeutic regime may be utilised to indicate reversal or other form of improvement of the subject individual's condition.

The method of the present invention is useful as a one off test or as an on-going monitor of those individuals thought to be at risk of adenoma development or as a monitor of the effectiveness of therapeutic or prophylactic treatment regimes directed to inhibiting or otherwise slowing adenoma development. In these situations, mapping the modulation of adenoma marker and/or adenoma marker levels or expression profiles in any one or more classes of biological samples is a valuable indicator of the status of an individual or the effectiveness of a therapeutic or prophylactic regime which is currently in use. Accordingly, the method of the present invention should be understood to extend to monitoring for increases or decreases in marker levels or expression profiles in an individual relative to their normal level (as hereinbefore defined) or relative to one or more earlier marker levels or expression profiles determined from a biological sample of said individual.

Accordingly, another aspect of the present invention provides a method of monitoring for the onset or progression of a neoplasm in an individual, said method comprising measuring the level of expression of one or more adenoma markers and/or adenoma markers, as hereinbefore defined, in a biological sample from said individual wherein the level of said adenoma marker and/or adenoma marker relative to the normal level of said adenoma marker and/or adenoma marker is indicative of the onset of progression or a neoplasm.

In yet another aspect there is provided a method of monitoring for the onset or progression of a neoplasm in an individual, said method comprising detecting the co-expression of any two or more adenoma markers and/or adenoma markers, as hereinbefore defined, in a biological sample from said individual wherein the expression profile of said adenoma markers and/or adenoma markers relative to normal expression profiles is indicative of the onset or progression of a neoplasm.

Preferably said neoplasm is an adenoma. Even more preferably said adenoma is a gastrointestinal tract adenoma. Most preferably said gastrointestinal tract adenoma is a colorectal adenoma.

In still another aspect, the present invention extends to the classification of adenomas obtained by biopsy based on the expression profile and/or expression levels of one or more of the adenoma markers and/or adenoma markers defined herein.

Without limiting the present invention to any one theory or mode of action, adenomas may develop through progressive stages of size, appearance and dysplasia (cellular disorganization), into colorectal cancer (Young, G. P., Rozen, P. and Levin, B. Chapter 3: Ed. Rozen, P., Young, G. P., Levin, P., Spann, S. J. Martin Dunitz 2002). The process is by a series of steps, each of which constitutes a change in the biology that is driven by accumulation of genetic mutations. Unless inherited, the mutations occur by chance and in random order. Once acquired the process is not inevitable, as more chance mutations must occur.

Progression of adenoma development is characterised by any one or more of the following:

-   a) An increase in size: 1 cm or over is definitely at-risk and some     consider >5 mm as significant. -   b) An increase in the villous component.     -   The usual histology is “tubular”. Adenomas can develop a villous         appearance in some areas. If <25%, the adenoma remains a tubular         adenoma (TA).     -   25-50% is a tubulovillous adenoma (TVA).     -   >50% change is a villous adenoma (VA). Regardless of size,         villous change is important and risk increases as the degree of         villous change increases. -   c) An increase in the degree of dysplasia. All adenomas show     dysplasia by definition, as this is the histologic hallmark of     neoplasia. Adenomas are usually classified as a low (LGD) or high     (HGD) grade dysplasia. High-grade means increased risk. -   d) Multiplicity. While not strictly a marker of progression for the     individual adenoma, multiplicity does denote increased risk of     progression.

The risk of a polyp developing into cancer is summarized in the following table:

Type of polyp Risk increase Adenoma: Multiple (i.e. >2 of any size) 8-fold Adenoma: >9 mm, or villous change, 4-fold or HGD Adenoma: <10 mm, tubular and single No identified increased risk Hyperplastic No identified increased risk

Many adenomas never progress, but remain single, tubular and less than 1 cm in size. Overall, it is estimated that about 5-10% of adenomas will progress to cancer. The process is generally slow and takes about 10 years. The adenoma “dwell-time” takes 5-10 years and a cancer may take 5 years before death ensues. Most adenomas are asymptomatic, as are cancers in the early phases.

Accordingly, the present invention now provides a means of classifying adenomas other than by the currently accepted techniques which are based on gross histological morphology. The currently used methods lack precision in relation to disease classification and prognosis. The identification of adenoma markers and adenoma markers together with identification of their expression uplift levels and expression profile can now be correlated to disease stage and/or cancer invasiveness. This provides a means of more effectively classifying staging and predicting disease progression.

Accordingly, another aspect of the present invention provides a method of classifying an adenoma, said method comprising identifying the expression pattern of one or more adenoma markers and/or adenoma markers and/or the expression levels of one or more adenoma markers and/or adenoma markers of said adenoma and correlating said adenoma marker expression results with the morphological and/or phenotypic features of said adenoma.

The present invention should also be understood to extend to the determination of an adenoma's classification status based on the known expression levels and/or expression profiles of the adenoma markers and/or adenoma markers expressed by said adenoma, and as previously identified above.

Means of screening for adenoma markers or adenoma markers in a biological sample can be achieved by any suitable method, which would be well known to the person of skill in the art, such as but not limited to:

-   (i) In vivo detection of adenomas.     -   Molecular Imaging may be used following administration of         imaging probes or reagents capable of disclosing altered         expression of the markers in the intestinal tissues.     -   Molecular imaging (Moore, A., Basilion, J., Chiocca, e., and         Weissleder, R., Measuring Transferrin Receptor Gene Expression         by NMR Imaging. BBA, 1402:239-249, 1988; Weissleder, R., Moore,         A., Ph. D., Mahmnood-Bhorade, U., Benveniste, H., Chiocca, E.         A., Basilion, J. P. High resolution in vivo imaging of transgene         expression, Nature Medicine, 6:351-355, 2000) is the in vivo         imaging of molecular expression that correlates with the         macro-features currently visualized using “classical” diagnostic         imaging techniques such as X-Ray, computed tomography (CT), MRI,         Positron Emission Tomography (PET) or endoscopy. Historically,         detection of malignant tumor cells in a background of normal or         hyperplastic benign tissue is often based on differences in         physical properties between tissues, which are frequently         minimal, resulting in low contrast resolution. Application of         expression profiling will define the differences in “molecular         properties” between cancer and normal tissues that arise as a         result of malignant transformation. Definition of “molecular         signatures” for adenomas will enable development of more         sensitive and informative imaging methods that exploit these         genetic differences. Additionally, identification of imaging         marker genes, expression profiles or gene products for adenomas         that can be correlated to disease stage and/or cancer         invasiveness may eventually lead to non-invasive staging and         prognosis of disease. -   (ii) Detection of up-regulation of mRNA expression in the cells by     Fluorescent In Situ Hybridization (FISH), or in extracts from the     cells by technologies such as Quantitative Reverse Transcriptase     Polymerase Chain Reaction (QRTPCR) or Flow cytometric qualification     of competitive RT-PCR products (Wedemeyer, N., Potter, T.,     Wetzlich, S. and Gohde, W. Flow Cytometric Quantification of     Competitive Reverse Transcriptase-PCR products, Clinical Chemistry     48:9 1398-1405, 2002). -   (iii) Assessment of expression profiles of mRNA from cellular     extracts, for example by array technologies (Alon, A., Barkai, N.     Notterman, D. A., Gish, K., Ybarra, S., Mach, D. and Levine, A. J.     Broad patterns of gene expression revealed by clustering analysis of     tumor and normal colon tissues probed by oligonucleotide arrays.     Proc. Natl. Acad. Sci. USA: 96, 6745-6750, June 1999). -   (iv) Measurement of altered marker protein levels in cell extracts,     for example by immunoassay. -   (v) The use of aptamers in screening for nucleic acid molecules or     expression products -   (vi) Determining altered expression of protein markers on the cell     surface, for example by immunohistochemistry.

(vii) Determining altered protein expression based on any suitable functional test, enzymatic test or immunological test in addition to those detailed in points (iv) and (vi) above.

A person of ordinary skill in the art could determine, as a matter of routine procedure, the appropriateness of applying a given method to a particular type of biological sample.

Another aspect of the present invention provides a diagnostic kit for assaying biological samples comprising an agent for detecting one or more adenoma markers and/or adenoma markers and reagents useful for facilitating the detection by the agent in the first compartment. Further means may also be included, for example, to receive a biological sample. The agent may be any suitable detecting molecule.

As detailed hereinbefore, the inventors have determined that a proportion of the adenoma markers represent novel genetic molecules. The identification of this population of genes has now permitted the rational design of a range of products and methods for use in diagnosis, therapy, prophylaxis and antibody generation.

Accordingly, a related aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 1 or SEQ ID NO: 6 or SEQ ID NOs: 8-10 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 1 or SEQ ID NO: 6 or SEQ ID NOs: 8-10 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 4 or SEQ ID NO: 5 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 4 or SEQ ID NO: 5 under low stringency conditions at 42° C.

Still yet another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 7 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 7 under low stringency conditions at 42° C.

Yet still another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 11-13 or SEQ ID NOs: 15-16 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 11-13 or SEQ ID NOs: 15-16 under low stringency conditions at 42° C.

A further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 14 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 14 under low stringency conditions at 42° C.

Another further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 17-19 or SEQ ID NOs: 22-23 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 17-19 or SEQ ID NOs: 22-23 under low stringency conditions at 42° C.

Yet another further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 20 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 20 under low stringency conditions at 42° C.

Still yet another further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 21 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 21 under low stringency conditions at 42° C.

Yet still another further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 24-26, SEQ ID NO: 31 or SEQ ID NOs: 35-37 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 24-26, SEQ ID NO: 31 or SEQ ID NOs: 35-37 under low stringency conditions at 42° C.

Another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 27, SEQ ID NO: 28 or SEQ ID NO: 29 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 27, SEQ ID NO: 28 or SEQ ID NO: 29 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 30 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 30 under low stringency conditions at 42° C.

Still another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NO: 59 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NO: 59 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 73-145 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 73-145 under low stringency conditions at 42° C.

A further aspect of the present invention contemplates an isolated nucleic acid molecule or derivative, homologue or analogue thereof comprising a nucleotide sequence substantially as set forth in any one or more of SEQ ID NOs: 146-219 or SEQ ID NO: 336 or derivative or homologue thereof, or capable of hybridising to any one or more of SEQ ID NOs: 146-219 or SEQ ID NO: 336 under low stringency conditions at 42° C.

Reference herein to a low stringency at 42° C. includes and encompasses from at least about 1% v/v to at least about 15% v/v formamide and from at least about 1M to at least about 2M salt for hybridisation, and at least about 1M to at least about 2M salt for washing conditions. Alternative stringency conditions may be applied where necessary, such as medium stringency, which includes and encompasses from at least about 16% v/v at least about 30% v/v formamide and from at least about 0.5M to at least about 0.9M salt for hybridisation, and at least about 0.5M to at least about 0.9M salt for washing conditions, or high stringency, which includes and encompasses from at least about 31% v/v to at least about 50% v/v formamide and from at least about 0.01M to at least about 0.15M salt for hybridisation, and at least about 0.01M to at least about 0.15M salt for washing conditions. In general, washing is carried out at T_(m)=69.3+0.41 (G+C) % [19]=−12° C. However, the T_(m) of a duplex DNA decreases by 1° C. with every increase of 1% in the number of mismatched based pairs (Bonner et al (1973) J. Mol. Biol. 81:123).

Without limiting the present invention to any one theory or mode of action, the nucleic acid molecules according to these aspects of the present invention are cDNA sequences which correspond to partial mRNA gene transcripts, the concentrations of which are elevated more than 2-fold in the tissues of individuals exhibiting gastrointestinal tract adenoma development, as compared to unaffected individuals or tissues. These mRNA transcript sequences do not correlate with any known gene sequences and therefore reflect the identification of a novel population of genes which, inter alia, are useful as diagnostic markers of adenoma development. More particularly, these genes are thought to form a novel group of genes which are indicative of the onset of or a predisposition to the onset of adenoma development when expressed at either higher levels or in unique co-expression profiles in individuals who have developed an adenoma than in unaffected individuals. The nucleic acid molecules according to this aspect of the present invention are herein collectively referred to as “novel adenoma markers”. The expression product of the adenoma marker nucleic acid molecules are herein referred to non-italicised text as “novel adenoma markers”. It should be understood that these molecules form a subgroup of the “adenoma markers” and “adenoma markers” as defined in relation to the diagnostic aspects of the present invention. For ease of reference, the two groups of markers are distinguishable by the presence or absence of the prefix “novel”.

More particularly, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NO: 1 or SEQ ID NO: 6 or SEQ ID NOs: 8-10.

In another embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NO: 4 or SEQ ID NO: 5.

In yet another embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 7.

In yet another embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 11-13 or SEQ ID NOs: 15-16.

In still another embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 14.

In yet still another embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 17-19 or SEQ ID NOs: 22-23.

In still yet another embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 20.

In a further embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 21.

In a still further embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 24-26, SEQ ID NO: 31 or SEQ ID NOs: 35-37.

In a yet further embodiment the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NO: 27, SEQ ID NO: 28 or SEQ ID NO: 29.

In a yet still further embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NO: 30.

In yet another embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NO: 59.

In still another embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 73-145.

In a further embodiment, the present invention contemplates a nucleic acid molecule or a derivative, homologue or analogue thereof comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 146-219 or SEQ ID NO: 336.

The novel adenoma marker nucleic acid molecules of the present invention are preferably cDNA sequences of deoxyribonucleic acids or mRNA sequences of ribonucleic acids. However, the novel nucleic acid molecules of the present invention should be understood to extend to any form of deoxyribonucleic acid or ribonucleic acid molecule such as genomic sequences (which will comprise exons and introns and may also comprise promoter or other regulatory regions) or primary RNA transcript sequences.

Accordingly, another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to any one or more of SEQ ID NO: 1 or SEQ ID NO: 6 or SEQ ID NOs: 8-16 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to any one or more of SEQ ID NO: 4 or SEQ ID NO: 5 under low stringency conditions at 42° C.

Still yet another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to SEQ ID NO: 7 under low stringency conditions at 42° C.

Yet still another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to any one or more of SEQ ID NOs: 11-13 or SEQ ID NOs: 15-16 under low stringency conditions at 42° C.

A further aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to SEQ ID NO: 14 under low stringency conditions at 42° C.

Another further aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to any one or more of SEQ ID NOs: 17-19 or SEQ ID NOs: 22-23 under low stringency conditions at 42° C.

Yet another further aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to SEQ ID NO: 20 under low stringency conditions at 42° C.

Still yet another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to SEQ ID NO: 21 under low stringency conditions at 42° C.

Yet still another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to any one or more of SEQ ID NOs: 24-26, SEQ ID NO: 31 or SEQ ID NOs: 35-37 under low stringency conditions at 42° C.

Another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to any one or more of SEQ ID NOs: 27-29 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to SEQ ID NO: 30 under low stringency conditions at 42° C.

Still another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to SEQ ID NO: 59 under low stringency conditions at 42° C.

Yet another aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to any one or more of SEQ ID NOs: 73-145 under low stringency conditions at 42° C.

A further aspect of the present invention contemplates a genomic nucleic acid molecule or derivative, homologue or analogue thereof capable of hybridising to any one or more of SEQ ID NOs: 146-219 or SEQ ID NO: 336 under low stringency conditions at 42° C.

Reference herein to “novel adenoma markers” and “novel adenoma markers” should be understood as a reference to all forms of these molecules and to derivatives, homologues, analogues, chemical equivalents and mimetics thereof including, for example, any peptide or cDNA isoforms which arise from alternative splicing of novel adenoma marker mRNA or mutants or polymorphic variants of novel adenoma markers or novel adenoma markers.

The molecules disclosed herein have been isolated from the human. However, it should be understood that the protein and/or nucleic acid molecules may also be isolated from any other animal or non-animal source. For example, other animal and non-animal sources include, but are not limited to, primates, livestock animals (e.g. sheep, pigs, cows, goats, horses, donkeys), laboratory test animals (e.g. mice, hampsters, rabbits, rats, guinea pigs), domestic companion animals (e.g. dogs and cats), birds (e.g. chicken, geese, ducks and other poultry birds, game birds, emus, ostriches), captive wild or tamed animals (e.g. foxes, kangaroos, dingoes), reptiles or fish.

The nucleic acid molecule of the present invention is preferably in isolated form or ligated to a vector, such as an expression vector. By “isolated” is meant a nucleic acid molecule having undergone at least one purification step and this is conveniently defined, for example, by a composition comprising at least about 10% subject nucleic acid molecule, preferably at least about 20%, more preferably at least about 30%, still more preferably at least about 40-50%, even still more preferably at least about 60-70%, yet even still more preferably 80-90% or greater of subject nucleic acid molecule relative to other components as determined by molecular weight, encoding activity, nucleotide sequence, base composition or other convenient means. The nucleic acid molecule of the present invention may also be considered, in a preferred embodiment, to be biologically pure.

In a particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NO: 1 or SEQ ID NO: 6 or SEQ ID NOs: 8-10 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to anyone or more of SEQ ID NO: 1 or SEQ ID NO: 6 or SEQ ID NOs: 8-10.

In another particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NO: 4 or SEQ ID NO: 5 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to anyone or more of SEQ ID NO: 4 or SEQ ID NO: 5.

In yet another particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 7 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to SEQ ID NO: 7.

In still another particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 11-13 or SEQ ID NOs: 15-16 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to anyone or more of SEQ ID NOs: 11-13 or SEQ ID NOs: 15-16.

In yet still another particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 14 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to SEQ ID NO: 14.

In still yet another particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 17-19 or SEQ ID NOs: 22-23 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to anyone or more of SEQ ID NOs: 17-19 or SEQ ID NOs: 22-23.

In a further particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 20 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to SEQ ID NO: 20.

In a still further particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 21 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to SEQ ID NO: 21.

In a yet further particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 24-26 or SEQ ID NO: 31 or SEQ ID NOs: 35-37 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to anyone or more of SEQ ID NOs: 24-26 or SEQ ID NO: 31 or SEQ ID NOs: 35-37.

In a still yet further particularly preferred embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 27-29 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to anyone or more of SEQ ID NOs: 27-29.

In another embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 30 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to SEQ ID NO: 30.

In yet another embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in SEQ ID NO: 59 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to SEQ ID NO: 59.

In still another embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 73-145 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to anyone or more of SEQ ID NOs: 73-145.

In a further embodiment, the nucleotide sequence corresponding to a novel adenoma marker is a cDNA sequence comprising a sequence of nucleotides substantially as set forth in any one or more of SEQ ID NOs: 146-219 or SEQ ID NO: 336 or is a derivative, homologue or analogue thereof including a cDNA sequence comprising a sequence of nucleotides having similarity to anyone or more of SEQ ID NOs: 146-219 or SEQ ID NO: 336.

The term “similarity” as used herein includes exact identity between compared sequences at the nucleotide or amino acid level. Where there is non-identity at the nucleotide level, “similarity” includes differences between sequences which result in different amino acids that are nevertheless related to each other at the structural, functional, biochemical and/or conformational levels. Where there is non-identity at the amino acid level, “similarity” includes amino acids that are nevertheless related to each other at the structural, functional, biochemical and/or conformational levels. The percentage similarity may be greater than 50% such as at least 70% or at least 80% or at least 90% or at least 95% or higher.

To determine the percent identity of two amino acid sequences or of two nucleic acids, the sequences may be aligned for optimal comparison purposes (e.g., gaps can be introduced in the sequence of a first amino acid or nucleic acid sequence for optimal alignment with a second amino or nucleic acid sequence). The amino acid residues or nucleotides at corresponding amino acid positions or nucleotide positions can then be compared. When a position in the first sequence is occupied by the same amino acid residue or nucleotide as the corresponding position in the second sequence, then the molecules are identical at that position. The percent identity between the two sequences is a function of the number of identical positions shared by the sequences (i.e. % identity=# of identical positions/total # of overlapping positions×100). Preferably, the two sequences are the same length. The determination of percent identity or homology between two sequences can be accomplished using a mathematical algorithm. A suitable, mathematical algorithm utilized for the comparison of two sequences is the algorithm of Karlin and Altschul (1990), modified as in Karlin and Altschul (1993). Such an algorithm is incorporated into the NBLAST and XBLAST programs of Altschul, et al. (1990) J. Mol. Biol. 215:403-410. BLAST nucleotide searches can be performed with the NBLAST program, score=100, wordlength=12 to obtain nucleotide sequences homologous to the nucleic acid molecules of the invention. BLAST protein searches can be performed with XBLAST program, score=50, wordlength=3 to obtain amino acid sequences homologous to the protein molecules of the invention. To obtain gapped alignments for comparison purposes, Gapped BLAST can be utilized as described in Altschul et al. (1997). When utilizing BLAST and Gapped BLAST programs, the default parameters of the respective programs (e.g., XBLAST and NBLAST) can be used. See http://wxvv.ncbi.nlm.nih.gov. Another example of a mathematical algorithm utilized for the comparison of sequences is the algorithm of Myers and Miller, CABIOS (1989). Such an algorithm is incorporated into the ALIGN program (version 2.0) which is part of the GCG sequence alignment software package. When utilizing the ALIGN program for comparing amino acid sequences, a PAM120 weight residue table, a gap length penalty of 12, and a gap penalty of 4 can be used. The percent identity between two sequences can be determined using techniques similar to those described above, with or without allowing gaps. In calculating percent identity, only exact matches are counted.

The nucleic acid molecule may be ligated to an expression vector capable of expression in a prokaryotic cell (e.g. E. coli) or a eukaryotic cell (e.g. yeast cells, fungal cells, insect cells, mammalian cells or plant cells). The nucleic acid molecule may be ligated or fused or otherwise associated with a nucleic acid molecule encoding another entity such as, for example, a signal peptide, epitope tag, fluorescent tag, dimerisation motif, inhibitory motif, activation motif or regulatory motif.

The present invention extends to the expression product of the nucleic acid molecules hereinbefore defined.

Accordingly, yet another aspect of the present invention is directed to an isolated protein selected from the list consisting of:

-   (i) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NO: 1, SEQ     ID NO: 6 or SEQ ID NOs: 8-10 or a derivative homologue, analogue,     chemical equivalent or mimetic or said protein. -   (ii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NO: 4 or SEQ     ID NO: 5 or a derivative, homologue, analogue, chemical equivalent     or mimetic or said protein. -   (iii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in SEQ ID NO: 7 or a derivative,     homologue, analogue, chemical equivalent or mimetic or said protein. -   (iv) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NOs: 11-13     or SEQ ID NOs: 15-16 or a derivative, homologue, analogue, chemical     equivalent or mimetic or said protein. -   (v) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in SEQ ID NO: 14 or a derivative,     homologue, analogue, chemical equivalent or mimetic or said protein. -   (vi) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NOs: 17-19     or SEQ ID NOs: 22-23 or a derivative, homologue, analogue, chemical     equivalent or mimetic or said protein. -   (vii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in SEQ ID NO: 20 or a derivative,     homologue, analogue, chemical equivalent or mimetic or said protein. -   (viii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in SEQ ID NO: 21 or a derivative,     homologue, analogue, chemical equivalent or mimetic or said protein. -   (ix) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NOs: 24-26,     SEQ ID NO: 31 or SEQ ID NOs: 35-37 or a derivative, homologue,     analogue, chemical equivalent or mimetic or said protein. -   (x) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     substantially as set forth in any one or more of SEQ ID NO: 27 or     SEQ ID NO: 28 or SEQ ID NO: 29 or a derivative, homologue, analogue,     chemical equivalent or mimetic or said protein. -   (xi) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     capable of hybridising to any one or more of the nucleotide     sequences as set forth in SEQ ID NO: 30 or a derivative, homologue     or analogue thereof under low stringency conditions or a derivative,     homologue, analogue, chemical equivalent or mimetic of said protein. -   (xii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     capable of hybridising to any one or more of the nucleotide     sequences as set forth in SEQ ID NO: 59 or a derivative, homologue     or analogue thereof under low stringency conditions or a derivative,     homologue, analogue, chemical equivalent or mimetic of said protein. -   (xiii) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     capable of hybridising to any one or more of the nucleotide     sequences as set forth in any one or more of SEQ ID NOs: 73-145 or a     derivative, homologue or analogue thereof under low stringency     conditions or a derivative, homologue, analogue, chemical equivalent     or mimetic of said protein. -   (xiv) a protein encoded by a nucleotide sequence or derivative,     homologue or analogue thereof comprising a nucleotide sequence     capable of hybridising to any one or more of the nucleotide     sequences as set forth in any one or more of SEQ ID NOs: 146-219 or     SEQ ID NO: 336 or a derivative, homologue or analogue thereof under     low stringency conditions or a derivative, homologue, analogue,     chemical equivalent or mimetic of said protein.

The term “protein” should be understood to encompass peptides, polypeptides and proteins. The protein may be glycosylated or unglycosylated and/or may contain a range of other molecules fused, linked, bound or otherwise associated to the protein such as amino acids, lipids, carbohydrates or other peptides, polypeptides or proteins. Reference herein to a “protein” includes a protein comprising a sequence of amino acids as well as a protein associated with other molecules such as amino acids, lipids, carbohydrates or other peptides, polypeptides or proteins.

The protein of the present invention is preferably in isolated form. By “isolated” is meant a protein having undergone at least one purification step and this is conveniently defined, for example, by a composition comprising at least about 10% subject protein, preferably at least about 20%, more preferably at least about 30%, still more preferably at least about 40-50%, even still more preferably at least about 60-70%, yet even still more preferably 80-90% or greater of subject protein relative to other components as determined by molecular weight, amino acid sequence or other convenient means. The protein of the present invention may also be considered, in a preferred embodiment, to be biologically pure.

The adenoma marker proteins of the present invention may be in multimeric form meaning that two or more molecules are associated together. Where the same protein molecules are associated together, the complex is a homomultimer. An example of a homomultimer is a homodimer. Where at least one adenoma marker protein is associated with at least one non-adenoma marker protein, then the complex is a heteromultimer such as a heterodimer.

The ability to produce recombinant proteins permits the large scale production of adenoma markers for commercial use. The adenoma markers may need to be produced as part of a large peptide, adenomaeptide or protein which may be used as is or may first need to be processed in order to remove the extraneous proteinaceous sequences. Such processing includes digestion with proteases, peptidases and amidases or a range of chemical, electrochemical, sonic or mechanical disruption techniques.

Notwithstanding that the present invention encompasses recombinant proteins, chemical synthetic techniques are also preferred in the synthesis of the subject proteins.

Adenoma marker proteins according to the present invention are conveniently synthesised based on molecules isolated from the human. Isolation of the human molecules may be accomplished by any suitable means such as by chromotographic separation, for example using CM-cellulose ion exchange chromatography followed by Sephadex (e.g. G-50 column) filtration. Many other techniques are available including HPLC, PAGE amongst others.

The subject proteins may be synthesised by solid phase synthesis using F-moc chemistry as described by Carpino et al. (1991). Proteins and fragments thereof may also be synthesised by alternative chemistries including, but not limited to, t-Boc chemistry as described in Stewart et al. (1985) or by classical methods of liquid phase peptide synthesis.

Derivatives of the nucleic acid and protein molecules defined herein include fragments, parts, portions, mutants, variants and mimetics from natural, synthetic or recombinant sources including fusion proteins. Parts or fragments include, for example, active regions of the adenoma markers. Derivatives may be derived from insertion, deletion or substitution of amino acids. Amino acid insertional derivatives include amino and/or carboxylic terminal fusions as well as intrasequence insertions of single or multiple amino acids. Insertional amino acid sequence variants are those in which one or more amino acid residues are introduced into a predetermined site in the protein although random insertion is also possible with suitable screening of the resulting product. Deletional variants are characterized by the removal of one or more amino acids from the sequence. Substitutional amino acid variants are those in which at least one residue in the sequence has been removed and a different residue inserted in its place. An example of substitutional amino acid variants are conservative amino acid substitutions. Conservative amino acid substitutions typically include substitutions within the following groups: glycine and alanine; valine, isoleucine and leucine; aspartic acid and glutaric acid; asparagine and glutamine; serine and threonine; lysine and arginine; and phenylalanine and tyrosine. Additions to amino acid sequences include fusions with other peptides, polypeptides or proteins.

Homologues should be understood as a reference to nucleic acid or protein molecules isolated from or otherwise corresponding to molecules found in species other than the human.

Chemical and functional equivalents of the subject nucleic acid or protein molecules should be understood as molecules exhibiting any one or more of the functional activities of these molecules and may be derived from any source such as being chemically synthesized or identified via screening processes such as natural product screening.

The derivatives include fragments having particular epitopes or parts of the entire protein fused to peptides, polypeptides or other proteinaceous or non-proteinaceous molecules.

Analogues contemplated herein include, but are not limited to, modification to side chains, incorporating of unnatural amino acids and/or their derivatives during peptide, adenomaeptide or protein synthesis and the use of crosslinkers and other methods which impose conformational constraints on the proteinaceous molecules or their analogues.

Derivatives of nucleic acid sequences may similarly be derived from single or multiple nucleotide substitutions, deletions and/or additions including fusion with other nucleic acid molecules. The derivatives of the nucleic acid molecules of the present invention include oligonucleotides, PCR primers, antisense molecules, molecules suitable for use in cosuppression and fusion of nucleic acid molecules. Derivatives of nucleic acid sequences also include degenerate variants.

Examples of side chain modifications contemplated by the present invention include modifications of amino groups such as by reductive alkylation by reaction with an aldehyde followed by reduction with NaBH₄; amidination with methylacetimidate; acylation with acetic anhydride; carbamoylation of amino groups with cyanate; trinitrobenzylation of amino groups with 2,4,6-trinitrobenzene sulphonic acid (TNBS); acylation of amino groups with succinic anhydride and tetrahydrophthalic anhydride; and pyridoxylation of lysine with pyridoxal-5-phosphate followed by reduction with NaBH₄.

The guanidine group of arginine residues may be modified by the formation of heterocyclic condensation products with reagents such as 2,3-butanedione, phenylglyoxal and glyoxal.

The carboxyl group may be modified by carbodiimide activation via O-acylisourea formation followed by subsequent derivatisation, for example, to a corresponding amide.

Sulphydryl groups may be modified by methods such as carboxymethylation with iodoacetic acid or iodoacetamide; performic acid oxidation to cysteic acid; formation of a mixed disulphides with other thiol compounds; reaction with maleimide, maleic anhydride or other substituted maleimide; formation of mercurial derivatives using 4-chloromercuribenzoate, 4-chloromercuriphenylsulphonic acid, phenylmercury chloride, 2-chloromercuri-4-nitrophenol and other mercurials; carbamoylation with cyanate at alkaline pH.

Tryptophan residues may be modified by, for example, oxidation with N-bromosuccinimide or alkylation of the indole ring with 2-hydroxy-5-nitrobenzyl bromide or sulphenyl halides. Tyrosine residues on the other hand, may be altered by nitration with tetranitromethane to form a 3-nitrotyrosine derivative.

Modification of the imidazole ring of a histidine residue may be accomplished by alkylation with iodoacetic acid derivatives or N-carboethoxylation with diethylpyrocarbonate.

Examples of incorporating unnatural amino acids and derivatives during protein synthesis include, but are not limited to, use of norleucine, 4-amino butyric acid, 4-amino-3-hydroxy-5-phenylpentanoic acid, 6-aminohexanoic acid, t-butylglycine, norvaline, phenylglycine, ornithine, sarcosine, 4-amino-3-hydroxy-6-methylheptanoic acid, 2-thienyl alanine and/or D-isomers of amino acids. A list of unnatural amino acids contemplated herein is shown in the following Table 1 below:

Non-conventional amino acid Code α-aminobutyric acid Abu α-amino-α-methylbutyrate Mgabu aminocyclopropane- Cpro carboxylate aminoisobutyric acid Aib aminonorbornyl- Norb carboxylate cyclohexylalanine Chexa cyclopentylalanine Cpen D-alanine Dal D-arginine Darg D-aspartic acid Dasp D-cysteine Dcys D-glutamine Dgln D-glutamic acid Dglu D-histidine Dhis D-isoleucine Dile D-leucine Dleu D-lysine Dlys D-methionine Dmet D-ornithine Dorn D-phenylalanine Dphe D-proline Dpro D-serine Dser D-threonine Dthr D-tryptophan Dtrp D-tyrosine Dtyr D-valine Dval D-α-methylalanine Dmala D-α-methylarginine Dmarg D-α-methylasparagine Dmasn D-α-methylaspartate Dmasp D-α-methylcysteine Dmcys D-α-methylglutamine Dmgln D-α-methylhistidine Dmhis D-α-methylisoleucine Dmile D-α-methylleucine Dmleu D-α-methyllysine Dmlys D-α-methylmethionine Dmmet D-α-methylornithine Dmorn D-α-methylphenylalanine Dmphe D-α-methylproline Dmpro D-α-methylserine Dmser D-α-methylthreonine Dmthr D-α-methyltryptophan Dmtrp D-α-methyltyrosine Dmty D-α-methylvaline Dmval D-N-methylalanine Dnmala D-N-methylarginine Dnmarg D-N-methylasparagine Dnmasn D-N-methylaspartate Dnmasp D-N-methylcysteine Dnmcys D-N-methylglutamine Dnmgln D-N-methylglutamate Dnmglu D-N-methylhistidine Dnmhis D-N-methylisoleucine Dnmile D-N-methylleucine Dnmleu D-N-methyllysine Dnmlys N-methylcyclohexylalanine Nmchexa D-N-methylornithine Dnmorn N-methylglycine Nala N-methylaminoisobutyrate Nmaib N-(1-methylpropyl)glycine Nile N-(2-methylpropyl)glycine Nleu D-N-methyltryptophan Dnmtrp D-N-methyltyrosine Dnmtyr D-N-methylvaline Dnmval γ-aminobutyric acid Gabu L-t-butylglycine Tbug L-ethylglycine Etg L-homophenylalanine Hphe L-α-methylarginine Marg L-α-methylaspartate Masp L-α-methylcysteine Mcys L-α-methylglutamine Mgln L-α-methylhistidine Mhis L-α-methylisoleucine Mile L-α-methylleucine Mleu L-α-methylmethionine Mmet L-α-methylnorvaline Mnva L-α-methylphenylalanine Mphe L-α-methylserine Mser L-α-methyltryptophan Mtrp L-α-methylvaline Mval N-(N-(2,2-diphenylethyl) Nnbhm carbamylmethyl)glycine 1-carboxy-1-(2,2-diphenyl-Nmbc ethylamino)cyclopropane L-N-methylalanine Nmala L-N-methylarginine Nmarg L-N-methylasparagine Nmasn L-N-methylaspartic acid Nmasp L-N-methylcysteine Nmcys L-N-methylglutamine Nmgln L-N-methylglutamic acid Nmglu L-N-methylhistidine Nmhis L-N-methylisolleucine Nmile L-N-methylleucine Nmleu L-N-methyllysine Nmlys L-N-methylmethionine Nmmet L-N-methylnorleucine Nmnle L-N-methylnorvaline Nmnva L-N-methylornithine Nmorn L-N-methylphenylalanine Nmphe L-N-methylproline Nmpro L-N-methylserine Nmser L-N-methylthreonine Nmthr L-N-methyltryptophan Nmtrp L-N-methyltyrosine Nmtyr L-N-methylvaline Nmval L-N-methylethylglycine Nmetg L-N-methyl-t-butylglycine Nmtbug L-norleucine Nle L-norvaline Nva α-methyl-aminoisobutyrate Maib α-methyl- -aminobutyrate Mgabu α-methylcyclohexylalanine Mchexa α-methylcylcopentylalanine Mcpen α-methyl-α-napthylalanine Manap α-methylpenicillamine Mpen N-(4-aminobutyl)glycine Nglu N-(2-aminoethyl)glycine Naeg N-(3-aminopropyl)glycine Norn N-amino-α-methylbutyrate Nmaabu α-napthylalanine Anap N-benzylglycine Nphe N-(2-carbamylethyl)glycine Ngln N-(carbamylmethyl)glycine Nasn N-(2-carboxyethyl)glycine Nglu N-(carboxymethyl)glycine Nasp N-cyclobutylglycine Ncbut N-cycloheptylglycine Nchep N-cyclohexylglycine Nchex N-cyclodecylglycine Ncdec N-cylcododecylglycine Ncdod N-cyclooctylglycine Ncoct N-cyclopropylglycine Ncpro N-cycloundecylglycine Ncund N-(2,2-diphenylethyl)glycine Nbhm N-(3,3-diphenylpropyl)glycine Nbhe N-(3-guanidinopropyl)glycine Narg N-(1-hydroxyethyl)glycine Nthr N-(hydroxyethyl))glycine Nser N-(imidazolylethyl))glycine Nhis N-(3-indolylyethyl)glycine Nhtrp N-methyl-γ-aminobutyrate Nmgabu D-N-methylmethionine Dnmmet N-methylcyclopentylalanine Nmcpen D-N-methylphenylalanine Dnmphe D-N-methylproline Dnmpro D-N-methylserine Dnmser D-N-methylthreonine Dnmthr N-(1-methylethyl)glycine Nval N-methyla-napthylalanine Nmanap N-methylpenicillamine Nmpen N-(p-hydroxyphenyl)glycine Nhtyr N-(thiomethyl)glycine Ncys penicillamine Pen L-α-methylalanine Mala L-α-methylasparagine Masn L-α-methyl-t-butylglycine Mtbug L-methylethylglycine Metg L-α-methylglutamate Mglu L-α-methylhomophenylalanine Mhphe N-(2-methylthioethyl)glycine Nmet L-α-methyllysine Mlys L-α-methylnorleucine Mnle L-α-methylornithine Morn L-α-methylproline Mpro L-α-methylthreonine Mthr L-α-methyltyrosine Mtyr L-N-methylhomophenylalanine Nmhphe N-(N-(3,3-diphenylpropyl) Nnbhe carbamylmethyl)glycine

Crosslinkers can be used, for example, to stabilise 3D conformations, using homo-bifunctional crosslinkers such as the bifunctional imido esters having (CH₂)_(n) spacer groups with n=1 to n=6, glutaraldehyde, N-hydroxysuccinimide esters and hetero-bifunctional reagents which usually contain an amino-reactive moiety such as N-hydroxysuccinimide and another group specific-reactive moiety.

A further aspect of the present invention relates to the use of the invention in relation to the treatment and/or prophylaxis of disease conditions. Without limiting the present invention to any one theory or mode of action, the inventors have determined that increased levels of any one or more the adenoma markers (both novel and those which have been previously characterised but not recognised as being an adenoma marker) disclosed herein is associated with the onset or a predisposition to the onset of a neoplasm, in particular an adenoma. Accordingly, modulation of the expression and/or functional activity of these adenoma markers provides a mechanism for treating conditions characterised by aberrant, unwanted or otherwise inappropriate cell growth. Although the preferred method is to down-regulate uncontrolled cellular proliferation in an individual, by down-regulating the expression and/or functional activity of one or more of the adenoma markers disclosed herein, up-regulation of cell growth may also be desirable in certain circumstances such as to promote wound healing and angiogenesis or other human processes.

The present invention therefore contemplates a method for the treatment and/or prophylaxis of a condition characterised by aberrant, unwanted or otherwise inappropriate cell growth in a subject, said method comprising administering to said subject an effective amount of an agent for a time and under conditions sufficient to modulate adenoma marker expression and/or adenoma marker functional activity.

Reference to “aberrant, unwanted or otherwise inappropriate” cell growth should be understood as a reference to overactive cell growth, to physiologically normal cell growth which is inappropriate in that it is unwanted or to insufficient cell growth. Preferably said inappropriate cell growth is uncontrolled cell proliferation.

According to this preferred embodiment there is provided a method for the treatment and/or prophylaxis of a condition characterised by uncontrolled cell proliferation in a subject, said method comprising administering to said subject an effective amount of an agent for a time and under conditions sufficient to down-regulate adenoma marker expression and/or adenoma marker functional activity.

Preferably said condition is a neoplastic condition and still more preferably an adenoma.

In a most preferred embodiment there is provided a method for the treatment and/or prophylaxis of an adenoma in a subject said method comprising administering to said subject an effective amount of and agent for a time and under conditions sufficient to down-regulate adenoma starker expression and/or adenoma marker functional activity.

Still more preferably said adenoma is a colorectal adenoma.

The method of the present invention preferably facilitates the subject proliferation being reduced, retarded or otherwise inhibited. Reference to “reduced, retarded or otherwise inhibited” should be understood as a reference to inducing or facilitating the partial or complete inhibition of cell proliferation. Said inhibition may occur either by direct or indirect mechanisms and includes the induction of cellular apoptosis or other cellular mechanisms.

An “effective amount” means an amount necessary at least partly to attain the desired response, or to delay the onset or inhibit progression or halt altogether, the onset or progression of a particular condition being treated. The amount varies depending upon the health and physical condition of the individual to be treated, the taxonomic group of individual to be treated, the degree of protection desired, the formulation of the composition, the assessment of the medical situation, and other relevant factors. It is expected that the amount will fall in a relatively broad range that can be determined through routine trials.

Reference herein to “treatment” and “prophylaxis” is to be considered in its broadest context. The term “treatment” does not necessarily imply that a subject is treated until total recovery. Similarly, “prophylaxis” does not necessarily mean that the subject will not eventually contract a disease condition. Accordingly, treatment and prophylaxis include amelioration of the symptoms of a particular condition or preventing or otherwise reducing the risk of developing a particular condition. The term “prophylaxis” may be considered as reducing the severity or onset of a particular condition. “Treatment” may also reduce the severity of an existing condition.

Administration of the agent (including an adenoma marker or functional equivalent, derivative, homologue, analogue or mimetic thereof or an adenoma marker nucleic acid molecule or derivative, equivalent, homologue or analogue thereof) [herein referred to as “modulatory agent”], in the form of a pharmaceutical composition, may be performed by any convenient means. The modulatory agent of the pharmaceutical composition is contemplated to exhibit therapeutic activity when administered in an amount which depends on the particular case. The variation depends, for example, on the human or animal and the modulatory agent chosen. A broad range of doses may be applicable. Considering a patient, for example, from about 0.1 mg to about 1 mg of modulatory agent may be administered per kilogram of body weight per day. Dosage regimes may be adjusted to provide the optimum therapeutic response. For example, several divided doses may be administered daily, weekly, monthly or other suitable time intervals or the dose may be proportionally reduced as indicated by the exigencies of the situation.

The modulatory agent may be administered in a convenient manner such as by the oral, intravenous (where water soluble), intraperitoneal, intramuscular, subcutaneous, intradermal or suppository routes or implanting (e.g. using slow release molecules). The modulatory agent may be administered in the form of pharmaceutically acceptable non-toxic salts, such as acid addition salts or metal complexes, e.g. with zinc, iron or the like (which are considered as salts for purposes of this application). Illustrative of such acid addition salts are hydrochloride, hydrobromide, sulphate, phosphate, maleate, acetate, citrate, benzoate, succinate, malate, ascorbate, tartrate and the like. If the active ingredient is to be administered in tablet form, the tablet may contain a binder such as tragacanth, corn starch or gelatin; a disintegrating agent, such as alginic acid; and a lubricant, such as magnesium stearate.

Routes of administration include, but are not limited to, respiratorally, intratracheally, nasopharyngeally, intravenously, intraperitoneally, subcutaneously, intracranially, intradermally, intramuscularly, intraoccularly, intrathecally, intracereberally, intranasally, infusion, orally, rectally, via IV drip, patch and implant. Preferably, said route of administration is oral.

In accordance with these methods, the agent defined in accordance with the present invention may be coadministered with one or more other compounds or molecules. By “coadministered” is meant simultaneous administration in the same formulation or in two different formulations via the same or different routes or sequential administration by the same or different routes. By “sequential” administration is meant a time difference of from seconds, minutes, hours or days between the administration of the two types of molecules. These molecules may be administered in any order.

Another aspect of the present invention contemplates the use of an agent as hereinbefore defined in the manufacture of a medicament for the treatment of a condition in a mammal, which condition is characterised by the aberrant, unwanted or otherwise inappropriate cell growth wherein said agent modulates adenoma marker functional activity or adenoma marker expression.

Preferably said condition is a neoplastic condition and even more preferably an adenoma. Still more preferably, said adenoma is a colorectal adenoma.

In yet another further aspect, the present invention contemplates a pharmaceutical composition comprising a modulatory agent as hereinbefore defined and one or more pharmaceutically acceptable carriers and/or diluents. Said modulatory agents are referred to as the active ingredients.

The pharmaceutical forms suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion or may be in the form of a cream or other form suitable for topical application. It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol and liquid polyethylene glycol, and the like), suitable mixtures thereof, and vegetable oils. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of superfactants. The preventions of the action of microorganisms can be brought about by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, thimerosal and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars or sodium chloride. Prolonged absorption of the injectable compositions can be brought about by the use in the compositions of agents delaying absorption, for example, aluminum monostearate and gelatin.

Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filtered sterilisation. Generally, dispersions are prepared by incorporating the various sterilised active ingredient into a sterile vehicle which contains the basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum drying and the freeze-drying technique which yield a powder of the active ingredient plus any additional desired ingredient from previously sterile-filtered solution thereof.

When the active ingredients are suitably protected they may be orally administered, for example, with an inert diluent or with an assimilable edible carrier, or it may be enclosed in hard or soft shell gelatin capsule, or it may be compressed into tablets, or it may be incorporated directly with the food of the diet. For oral therapeutic administration, the active compound may be incorporated with excipients and used in the form of ingestible tablets, buccal tablets, troches, capsules, elixirs, suspensions, syrups, wafers, and the like. Such compositions and preparations should contain at least 1% by weight of active compound. The percentage of the compositions and preparations may, of course, be varied and may conveniently be between about 5 to about 80% of the weight of the unit. The amount of active compound in such therapeutically useful compositions in such that a suitable dosage will be obtained. Preferred compositions or preparations according to the present invention are prepared so that an oral dosage unit form contains between about 0.1 μg and 2000 mg of active compound.

The tablets, troches, pills, capsules and the like may also contain the components as listed hereafter: a binder such as gum, acacia, corn starch or gelatin; excipients such as dicalcium phosphate; a disintegrating agent such as corn starch, potato starch, alginic acid and the like; a lubricant such as magnesium stearate; and a sweetening agent such as sucrose, lactose or saccharin may be added or a flavouring agent such as peppermint, oil of wintergreen, or cherry flavouring. When the dosage unit form is a capsule, it may contain, in addition to materials of the above type, a liquid carrier. Various other materials may be present as coatings or to otherwise modify the physical form of the dosage unit. For instance, tablets, pills, or capsules may be coated with shellac, sugar or both. A syrup or elixir may contain the active compound, sucrose as a sweetening agent, methyl and propylparabens as preservatives, a dye and flavouring such as cherry or orange flavour. Of course, any material used in preparing any dosage unit form should be pharmaceutically pure and substantially non-toxic in the amounts employed. In addition, the active compound(s) may be incorporated into sustained-release preparations and formulations. The pharmaceutical composition may also comprise genetic molecules such as a vector capable of transfecting target cells where the vector carries a nucleic acid molecule encoding a modulatory agent. The vector may, for example, be a viral vector.

Yet another aspect of the present invention relates to modulatory agents, as hereinbefore defined, when used in the method of the present invention.

Still another aspect of the present invention is directed to antibodies to adenoma markers or adenoma markers including catalytic antibodies. Such antibodies may be monoclonal or polyclonal and may be selected from naturally occurring antibodies to adenoma markers or may be specifically raised to an adenoma marker. In the case of the latter, the adenoma marker may first need to be associated with a carrier molecule. The antibodies and/or recombinant adenoma marker of the present invention are particularly useful as therapeutic or diagnostic agents. Alternatively, fragments of antibodies may be used such as Fab fragments. Furthermore, the present invention extends to recombinant and synthetic antibodies and to antibody hybrids. A “synthetic antibody” is considered herein to include fragments and hybrids of antibodies. The antibodies of this aspect of the present invention are particularly useful for immunotherapy and may also be used as a diagnostic tool for assessing apoptosis or monitoring the program of a therapeutic regime.

For example, an adenoma marker can be used to screen for naturally occurring antibodies to an adenoma marker.

For example, specific antibodies can be used to screen for adenoma marker proteins. The latter would be important, for example, as a means for screening for levels of an adenoma marker in a cell extract or other biological fluid or purifying an adenoma marker made by recombinant means from culture supernatant fluid. Techniques for the assays contemplated herein are known in the art and include, for example, sandwich assays, ELISA and flow cytometry. It is within the scope of this invention to include any second antibodies (monoclonal, polyclonal or fragments of antibodies) directed to the first mentioned antibodies discussed above. Both the first and second antibodies may be used in detection assays or a first antibody may be used with a commercially available anti-immunoglobulin antibody. An antibody as contemplated herein includes any antibody specific to any region of an adenoma marker.

Both polyclonal and monoclonal antibodies are obtainable by immunization with the protein or peptide derivatives and either type is utilizable for immunoassays. The methods of obtaining both types of sera are well known in the art. Polyclonal sera are less preferred but are relatively easily prepared by injection of a suitable laboratory animal with an effective amount of an adenoma marker, or antigenic parts thereof, collecting serum from the animal, and isolating specific sera by any of the known immunoadsorbent techniques. Although antibodies produced by this method are utilizable in virtually any type of immunoassay, they are generally less favoured because of the potential heterogeneity of the product.

The use of monoclonal antibodies in an immunoassay is particularly preferred because of the ability to produce them in large quantities and the homogeneity of the product. The preparation of hybridoma cell lines for monoclonal antibody production derived by fusing an immortal cell line and lymphocytes sensitized against the immunogenic preparation can be done by techniques which are well known to those who are skilled in the art. (See, for example Douillard and Hoffman (1981).

The present invention is further described by the following non-limiting examples:

TABLE 2 SEQUENCE LISTING SUMMARY PCT Sequence ID Adenoma Marker Sequence Number Clone Name Description Additional clone information 1 11-10a Adenoma marker gi|15431275|gb|AC079240.6|Homo cDNA sequence sapiens BAC clone RP11-808H.523 e−146 2 11-10e; and Claudin 2 cDNA Genbank Accession Number 11-5b sequence NM020384 3 11-10e; and Clauding 2 protein Genbank Accession Number 11-5b sequence NP065117 4 1-1d Adenoma marker gi|5763746|emb|AL049766.14|HSDJ686N cDNA sequence 3 Human DNA sequence fro . . . 373 e−100 5 1-1g Adenoma marker gi|5763746|emb|AL049766.14|HSDJ686N cDNA sequence 3 Human DNA sequence from clone RP4-686N3 on chromosome 20q13.2-13.2 Contains the 3′ part of the gene for a novel ATP dependent RNA helicase (contains conserved C-terminal helicase domains and DEAD-DEAH boxes), the KIAA1404 gene, a putative novel gene 6 12-17a Adenoma marker gi|21629406|gb|AC099845.2|Homo cDNA sequence sapiens chromosome 18, clon . . . 456 e−126 7 12-2f Adenoma marker gi|18104869|gb|AC023302.9|Homo 8-2d cDNA sequencey sapiens chromosome 15, clon . . . 593 e−167 8 2-12e clone 8 Adenoma marker gi|18645166|gb|BC023990.1| Homo cDNA sequence sapiens, annexin A2, clone . . . 141 9e−31 9 2-13a clone 5 Adenoma marker cDNA sequence 10 2-20b clone 2 Adenoma marker gi|21732430|emb|AL831917.1|HSM803250 cDNA sequence Homo sapiens mRNA; cDNA DKFZp761F0118 (from clone DKFZp761F0118) 11 3-10e clone 6 Adenoma marker gi|15823776|dbj|AB063285.1|Homo cDNA sequence sapiens HLCS gene for holocarboxylase synthetase, complete cds 12 3-12a Adenoma marker gi|11597162|gb|AC013410.5|AC013410 cDNA sequence Homo sapiens BAC clone RP11-495I2 from 2, complete sequence 13 3-16b clone 4 Adenoma marker gi|6382477|gb|AC005881.3|AC005881 cDNA sequence citb_79_e_16, complete sequence [Homo sapiens] 14 4-14b Adenoma marker cDNA sequence 15 4-17d Adenoma marker gi|18426891|gb|AC000385.2| Homo cDNA sequence sapiens chromosome 11 clone PAC pDJ392a17, complete sequence i|21732802|emb|AL832255.1|HSM803562 Homo sapiens mRNA; cDNA DKFZp667D1717 (from clone DKFZp667D1717) 16 4-18e Adenoma marker gi|17985585|gb|AF381996.1|AF381996 cDNA sequence Homo sapiens haplotype M12 mitochondrion, complete genome 17 4-2a Adenoma marker gi|17149447|gb|AC096915.2| Homo cDNA sequence sapiens chromosome 3 clone RP11-24H1, complete sequence 18 5-2f Adenoma marker gi|21359956|ref|NM_024569.2| Homo cDNA sequence sapiens hypothetical protein FLJ21047 (FLJ21047), mRNA 19 5-2g Adenoma marker gi|21749695|dbj|AK091346.1| Homo cDNA sequence sapiens cDNA FLJ34027 fis, clone FCBBF2003549, highly similar to GAP- associated tyrosine phosphoprotein p62 (Sam68) 20 6-12a Adenoma marker cDNA sequence 21 6-12b Adenoma marker cDNA sequence 22 6-16c clone 1 Adenoma marker gi|2429080|dbj|D87675.1| Homo sapiens cDNA sequence DNA for amyloid precursor protein, complete cds 23 6-17b Adenoma marker gi|4502264|ref|NM_001675.1| Homo cDNA sequence sapiens activating transcription factor 4 (tax-responsive enhancer element B67) (ATF4), mRNA 24 6-18d clone 7 Adenoma marker gi|19335766|emb|AL356738.14| Human cDNA sequence DNA sequence from clone RP13-228J13 on chromosome X, complete sequence [Homo sapiens 25 7-12a Adenoma marker gi|15991856|gb|BC012895.1|BC012895 cDNA sequence Homo sapiens, clone MGC: 18288 IMAGE: 4179238, mRNA, complete cds 26 8-17a Adenoma marker gi|3873300|gb|AC005829.1|AC005829 cDNA sequence Homo sapiens chromosome 17, clone hRPK.259_G_18, complete sequence 27 8-19a Adenoma marker cDNA sequence transcript 1 28 8-19a Adenoma marker cDNA sequence transcript 2 29 8-19a Adenoma marker cDNA sequence transcript 3 30 8-7bi Adenoma marker cDNA sequence 31 9-4g clone 5 Adenoma marker gi|21700762|ref|NM_144570.1| Homo cDNA sequence sapiens HN1 like (HNIL), mRNA 32 9-8a; and Transposon L1.1 Genbank Accession Number 2-20a-2 cDNA sequence M80340 33 9-8a; and Transposon L1.1 Genbank Accession Number 2-20a-2 CDS 1 protein AAA51621 sequence 34 9-8a; and Transposon L1.1 Genbank Accession Number 2-20a-2 CDS 2 protein AAA51622 sequence 35 9-8f2 clone 5 Adenoma marker gi|6562085|emb|AL078591.18|HSDJ198I9 cDNA sequence Human DNA sequence from clone RP1- 198I9 on chromosome 6q12-13. Contains the gene KIAA1411, ESTs, STSs and GSSs, complete sequence 36 9-8g Adenoma marker gi|21733549|emb|AL832961.1|HSM804272 cDNA sequence Homo sapiens mRNA; cDNA DKFZp666O0110 (from clone DKFZp666O0110) 37 9-8j2 clone 4 Adenoma marker gi|22002110|gb|AC022080.37| Homo cDNA sequence sapiens 12 BAC RP11-820K3 (Roswell Park Cancer Institute Human BAC 38 11-10b; 3-2c; Regenerating Protein Genbank Accession Number 12-7c; 9-2d; and IV cDNA sequence NM032044 11-2d 39 11-10b; 3-2c; Regenerating Protein Genbank Accession Number 12-7c; 9-2d; and IV protein sequence NP114433 11-2d 40 11-20e Adenoma marker gi|20539919|ref|XM_168302.1| Homo cDNA sequence sapiens zinc finger prote . . . 854 0.0 41 3-19e Adenoma marker gi|20539919|ref|XM_168302.1| Homo cDNA sequence sapiens zinc finger protein 36 (KOX 18) (ZNF36), mRNA 42 1-19e Adenoma marker gi|16933566|ref|NM_005370.3| Homo cDNA sequence sapiens mel transforming . . . 884 0.0 43 1-6aii Gastric Intrinsic Genbank Accession Number Factor cDNA NM005142 sequence 44 1-6aii Gastric Intrinsic Genbank Accession Number Factor protein NP005133 sequence 45 2-10b Adenoma marker gi|6633800|ref|NM_007329.1| Homo cDNA sequence sapiens deleted in maligna . . . 404 e−110 46 2-12f Adenoma marker gi|21166384|ref|NM_138737.1| Homo cDNA sequence sapiens hephaestin (HEPH) . . . 791 0.0 47 3-13e Adenoma marker cDNA sequence 48 2-18f clone 5 Adenoma marker gi|5051939|gb|AF143313.1|PTEN2 Homo cDNA sequence sapiens PTEN (PTEN) gen . . . 569 e−160 49 2-1c Defensin alpha 6 Genbank Accession Number cDNA sequence NM001926 50 2-1c Defensin alpha 6 Genbank Accession Number protein sequence NP001917 51 2-1g Adenoma marker gi|19923767|ref|NM_005682.2| Homo cDNA sequence sapiens G protein-coupled receptor 56 (GPR56), mRNA 52 2-7g clone 4 Adenoma marker Genbank Accession Number cDNA sequence NM 022149.1 53 3-12e clone 3 Adenoma marker Accession Number XM 010264.2 cDNA sequence 54 3-16k Adenoma marker gi|12654696|gb|BC001188.1|BC001188 cDNA sequence Homo sapiens, transferri . . . 523 e−146 55 3-5c clone 4 Adenoma marker gi|4758719|ref|NM_004529.1| Homo cDNA sequence sapiens myeloid-lymphoid or mixed- lineage leukemia 56 4-11e; and Transforming Genbank Accession Number 5-13d growth factor beta NM000358 cDNA sequence 57 4-11e; and Transforming Genbank Accession Number 5-13d growth factor beta NP000349 protein sequence 58 4-16d Adenoma marker gi|17985823|gb|AF382013.1|AF382013 cDNA sequence Homo sapiens haplotype M*2 mitochondrion, complete genome Length = 16567 59 4-18d Adenoma marker Accession Number XM 015882.1 cDNA sequence 60 5-14j GW112 cDNA Genbank Accession Number sequence NM006418 61 5-14j GW112 protein Genbank Accession Number sequence NP006409 62 5-4a S100 calcium Genbank Accession Number binding protein P NM005980 cDNA sequence 63 5-4a S100 calcium Genbank Accession Number binding protein P NP005971 protein sequence 64 6-10d Adenoma marker gi|20127471|ref|NM_005239.2| Homo cDNA sequence sapiens v-ets erythroblastosis virus E26 oncogene homolog 65 6-16a Adenoma marker gi|15145625|gb|AC023150.5|Homo cDNA sequence sapiens BAC clone RP11-709L9 from 4, complete sequence 66 7-13b SLC12A2 cDNA Genbank Accession Number sequence NM001046 67 7-13b SLC12A2 protein Genbank Accession Number sequence NP001037 68 7-13d clone 4 Adenoma marker Accession Number M22146.1 cDNA sequence 69 8-12b Adenoma marker Accession Number gbU16738.1 cDNA sequence 70 5-12a Adenoma marker Accession Number gbU16738.1 cDNA sequence 71 8-16b Adenoma marker |7739724|gb|AF257305.1|AF257305 cDNA sequence Homo sapiens ASH1 mRNA, complete cds 72 9-13c3 Adenoma marker gi|21707883|gb|BC034141.1| Homo cDNA sequence sapiens, similar to anti TNF-alpha antibody light-chain Fab >gi|21707883|gb|BC034141.1| Homo sapiens, similar to anti TNF-alpha antibody light-chain 73 3-1d2 Adenoma marker cDNA sequence 74 3-1 cl 4 Adenoma marker cDNA sequence 75 3-1 cl 7 Adenoma marker cDNA sequence 76 4-1 cl 11 Adenoma marker cDNA sequence 77 4-1 cl 13 Adenoma marker cDNA sequence 78 4-1 cl 17 Adenoma marker cDNA sequence 79 6-1a Adenoma marker cDNA sequence 80 6-3d Adenoma marker cDNA sequence 81 2-6a Adenoma marker cDNA sequence 82 2-7n Adenoma marker cDNA sequence 83 2-8r Adenoma marker cDNA sequence 84 6-5d Adenoma marker cDNA sequence 85 7-16g Adenoma marker cDNA sequence 86 7-17b2 Adenoma marker cDNA sequence 87 8-2a Adenoma marker cDNA sequence 88 8-2c Adenoma marker cDNA sequence 89 8-12d Adenoma marker cDNA sequence 90 8-15a Adenoma marker cDNA sequence 91 9-8h Adenoma marker cDNA sequence 92 9-8i Adenoma marker cDNA sequence 93 9-10e Adenoma marker cDNA sequence 94 9-12a Adenoma marker cDNA sequence 95 9-14a Adenoma marker cDNA sequence 96 9-15a Adenoma marker cDNA sequence 97 9-16h Adenoma marker cDNA sequence 98 9-17a Adenoma marker cDNA sequence 99 9-19b Adenoma marker cDNA sequence 100 9-19c Adenoma marker cDNA sequence 101 10-7b Adenoma marker cDNA sequence 102 10-8a Adenoma marker cDNA sequence 103 10-8c Adenoma marker cDNA sequence 104 10-11b Adenoma marker cDNA sequence 105 10-12a Adenoma marker cDNA sequence 106 10-14j Adenoma marker cDNA sequence 107 10-16a Adenoma marker cDNA sequence 108 10-17b Adenoma marker cDNA sequence 109 10-17c Adenoma marker cDNA sequence 110 11-12d Adenoma marker cDNA sequence 111 11-12a Adenoma marker cDNA sequence 112 11-17a Adenoma marker cDNA sequence 113 11-17c Adenoma marker cDNA sequence 114 11-17d Adenoma marker cDNA sequence 115 11-19i Adenoma marker cDNA sequence 116 12-20b Adenoma marker cDNA sequence 117 12-7a Adenoma marker cDNA sequence 118 12-7d Adenoma marker cDNA sequence 119 1-1B-1 Adenoma marker cDNA sequence 120 1-1H Adenoma marker cDNA sequence 121 1-11B2 Adenoma marker cDNA sequence 122 1-14A Adenoma marker cDNA sequence 123 1-14B Adenoma marker cDNA sequence 124 1-14E2 Adenoma marker cDNA sequence 125 1-15D Adenoma marker cDNA sequence 126 1-16A-3 Adenoma marker cDNA sequence 127 1-16 Adenoma marker cDNA sequence 128 1-16A-6 Adenoma marker cDNA sequence 129 1-20B Adenoma marker cDNA sequence 130 1-20C Adenoma marker cDNA sequence 131 2-8A Adenoma marker cDNA sequence 132 2-8R Adenoma marker cDNA sequence 133 2-13A-2 Adenoma marker cDNA sequence 134 2-17A-1 Adenoma marker cDNA sequence 135 2-17A-5 Adenoma marker cDNA sequence 136 2-17A-6 Adenoma marker cDNA sequence 137 2-17F Adenoma marker cDNA sequence 138 2-17I-2 Adenoma marker cDNA sequence 139 2-18D-1 Adenoma marker cDNA sequence 140 2-18D-5 Adenoma marker cDNA sequence 141 2-18F-1 Adenoma marker cDNA sequence 142 2-19A Adenoma marker cDNA sequence 143 2-19C Adenoma marker cDNA sequence 144 2-20B-1 Adenoma marker cDNA sequence 145 2-20C Adenoma marker cDNA sequence 146 2-20D Adenoma marker cDNA sequence 147 3-3F-6 Adenoma marker cDNA sequence 148 3-5C-2 Adenoma marker cDNA sequence 149 3-5C-5 Adenoma marker cDNA sequence 150 3-5D-2 Adenoma marker cDNA sequence 151 3-8A-3 Adenoma marker cDNA sequence 152 3-8A-5 Adenoma marker cDNA sequence 153 3-8A-7 Adenoma marker cDNA sequence 154 3-8E-5 Adenoma marker cDNA sequence 155 3-10A-5 Adenoma marker cDNA sequence 156 3-10A-8 Adenoma marker cDNA sequence 157 3-10B Adenoma marker cDNA sequence 158 3-11A Adenoma marker cDNA sequence 159 3-11G Adenoma marker cDNA sequence 160 3-14E Adenoma marker cDNA sequence 161 3-16H-6 Adenoma marker cDNA sequence 162 3-16J-1 Adenoma marker cDNA sequence 163 4-17C-3 Adenoma marker cDNA sequence 164 4-18B Adenoma marker cDNA sequence 165 5-1C-1 Adenoma marker cDNA sequence 166 5-1C-2 Adenoma marker cDNA sequence 167 5-1E-4 Adenoma marker cDNA sequence 168 5-10A Adenoma marker cDNA sequence 169 5-14M Adenoma marker cDNA sequence 170 5-14N-1 Adenoma marker cDNA sequence 171 5-15C Adenoma marker cDNA sequence 172 5-16A Adenoma marker cDNA sequence 173 5-16C Adenoma marker cDNA sequence 174 5-17C Adenoma marker cDNA sequence 175 5-17D Adenoma marker cDNA sequence 176 5-19A Adenoma marker cDNA sequence 177 5-19H Adenoma marker cDNA sequence 178 5-20D Adenoma marker cDNA sequence 179 6-3D Adenoma marker cDNA sequence 180 6-6B2-1 Adenoma marker cDNA sequence 181 6-14A Adenoma marker cDNA sequence 182 6-14B Adenoma marker cDNA sequence 183 6-17H-3 Adenoma marker cDNA sequence 184 6-18B Adenoma marker cDNA sequence 185 6-18F Adenoma marker cDNA sequence 186 6-19AIII Adenoma marker cDNA sequence 187 6-20E-1 Adenoma marker cDNA sequence 188 6-20E-3 Adenoma marker cDNA sequence 189 7-1D-1 Adenoma marker cDNA sequence 190 7-7D-1 Adenoma marker cDNA sequence 191 7-11B2-3 Adenoma marker cDNA sequence 192 7-12C Adenoma marker cDNA sequence 193 7-16E Adenoma marker cDNA sequence 194 7-17D Adenoma marker cDNA sequence 195 7-18C-2 Adenoma marker cDNA sequence 196 7-19I-2 Adenoma marker cDNA sequence 197 7-19I-5 Adenoma marker cDNA sequence 198 7-19I-6 Adenoma marker cDNA sequence 199 8-1A-2 Adenoma marker cDNA sequence 200 8-5A Adenoma marker cDNA sequence 201 8-5D Adenoma marker cDNA sequence 202 8-5E Adenoma marker cDNA sequence 203 8-13E-2 Adenoma marker cDNA sequence 204 8-16E Adenoma marker cDNA sequence 205 8-17C Adenoma marker cDNA sequence 206 8-19D Adenoma marker cDNA sequence 207 8-20A Adenoma marker cDNA sequence 208 8-1B-1 Adenoma marker cDNA sequence 209 9-2B Adenoma marker cDNA sequence 210 9-7A-1 Adenoma marker cDNA sequence 211 9-8F2-2 Adenoma marker cDNA sequence 212 9-12C-5 Adenoma marker cDNA sequence 213 9-16E-3 Adenoma marker cDNA sequence 214 9-17A-2+5 Adenoma marker cDNA sequence 215 9-17B Adenoma marker cDNA sequence 216 9-17D-2 Adenoma marker cDNA sequence 217 10-4B-6 Adenoma marker cDNA sequence 218 12-6D Adenoma marker cDNA sequence 219 12-17B Adenoma marker cDNA sequence 220 4-1 cl 2 Adenoma marker cDNA sequence 221 4-1 cl 8 Adenoma marker cDNA sequence 222 5-2c Adenoma marker cDNA sequence 223 1-10a Adenoma marker cDNA sequence 224 2-1e Adenoma marker cDNA sequence 225 2-6f Adenoma marker cDNA sequence 226 2-6i Adenoma marker cDNA sequence 227 2-7a Adenoma marker cDNA sequence 228 2-7b Adenoma marker cDNA sequence 229 2-7d Adenoma marker cDNA sequence 230 2-8f Adenoma marker cDNA sequence 231 5-1a Adenoma marker cDNA sequence 232 6-2a Adenoma marker cDNA sequence 233 6-5c Adenoma marker cDNA sequence 234 6-6d Adenoma marker cDNA sequence 235 7-5a Adenoma marker cDNA sequence 236 7-10b Adenoma marker cDNA sequence 237 7-11d3 Adenoma marker cDNA sequence 238 7-18a Adenoma marker cDNA sequence 239 7-20b Adenoma marker cDNA sequence 240 8-2f Adenoma marker cDNA sequence 241 9-10c Adenoma marker cDNA sequence 242 9-14c Adenoma marker cDNA sequence 243 9-14g Adenoma marker cDNA sequence 244 9-16a Adenoma marker cDNA sequence 245 9-16b Adenoma marker cDNA sequence 246 9-19a Adenoma marker cDNA sequence 247 9-20a Adenoma marker cDNA sequence 248 10-10a Adenoma marker cDNA sequence 249 11-11b Adenoma marker cDNA sequence 250 5-13E Adenoma marker cDNA sequence 251 2-13B Adenoma marker cDNA sequence 252 11-12c Adenoma marker cDNA sequence 253 11-13a Adenoma marker cDNA sequence 254 11-13d Adenoma marker cDNA sequence 255 11-20b Adenoma marker cDNA sequence 256 11-20d Adenoma marker cDNA sequence 257 11-5f Adenoma marker cDNA sequence 258 12-13b Adenoma marker cDNA sequence 259 12-15a Adenoma marker cDNA sequence 260 1-1B-4 Adenoma marker cDNA sequence 261 1-7F-2 Adenoma marker cDNA sequence 262 1-7G-2 Adenoma marker cDNA sequence 263 1-8E Adenoma marker cDNA sequence 264 1-9B Adenoma marker cDNA sequence 265 2-5G Adenoma marker cDNA sequence 266 2-6G-1 Adenoma marker cDNA sequence 267 2-6G-2 Adenoma marker cDNA sequence 268 2-7G-6 Adenoma marker cDNA sequence 269 2-8G-1 Adenoma marker cDNA sequence 270 2-8G-2 Adenoma marker cDNA sequence 271 2-8Q Adenoma marker cDNA sequence 272 2-11A Adenoma marker cDNA sequence 273 2-12D Adenoma marker cDNA sequence 274 2-12E-7 Adenoma marker cDNA sequence 275 2-17H Adenoma marker cDNA sequence 276 2-17I-5 Adenoma marker cDNA sequence 277 2-17I-1 Adenoma marker cDNA sequence 278 2-18C-2 Adenoma marker cDNA sequence 279 2-18C-5 Adenoma marker cDNA sequence 280 2-18G Adenoma marker cDNA sequence 281 3-2C-A Adenoma marker cDNA sequence 282 3-3A Adenoma marker cDNA sequence 283 3-3F-5 Adenoma marker cDNA sequence 284 3-3F-7 Adenoma marker cDNA sequence 285 3-5C-3 Adenoma marker cDNA sequence 286 3-19J-1 Adenoma marker cDNA sequence 287 5-18F-2 Adenoma marker cDNA sequence 288 5-19I Adenoma marker cDNA sequence 289 3-5D-6 Adenoma marker cDNA sequence 290 3-8B Adenoma marker cDNA sequence 291 3-10A-6 Adenoma marker cDNA sequence 292 3-16B-3 Adenoma marker cDNA sequence 293 3-16H-5 Adenoma marker cDNA sequence 294 3-16HII-5 Adenoma marker cDNA sequence 295 3-16J-2 Adenoma marker cDNA sequence 296 3-18E-1 Adenoma marker cDNA sequence 297 3-18E-6 Adenoma marker cDNA sequence 298 4-16E Adenoma marker cDNA sequence 299 5-2I Adenoma marker cDNA sequence 300 5-5A Adenoma marker cDNA sequence 301 5-8B Adenoma marker cDNA sequence 302 5-14A Adenoma marker cDNA sequence 303 5-14N-2 Adenoma marker cDNA sequence 304 5-15C Adenoma marker cDNA sequence 305 5-16B Adenoma marker cDNA sequence 306 5-17A Adenoma marker cDNA sequence 307 5-18F-6 Adenoma marker cDNA sequence 308 5-18F-7 Adenoma marker cDNA sequence 309 5-20C-3 Adenoma marker cDNA sequence 310 6-1F-4 Adenoma marker cDNA sequence 311 6-3C-2 Adenoma marker cDNA sequence 312 6-3C-4 Adenoma marker cDNA sequence 313 6-5E-2 Adenoma marker cDNA sequence 314 6-10C Adenoma marker cDNA sequence 315 6-12G Adenoma marker cDNA sequence 316 6-17B Adenoma marker cDNA sequence 317 6-20E-2 Adenoma marker cDNA sequence 318 7-2D Adenoma marker cDNA sequence 319 7-11A Adenoma marker cDNA sequence 320 7-11C2 Adenoma marker cDNA sequence 321 7-13D-2 Adenoma marker cDNA sequence 322 7-20A-4 Adenoma marker cDNA sequence 323 7-20D-2 Adenoma marker cDNA sequence 324 7-20D-3 Adenoma marker cDNA sequence 325 8-1D Adenoma marker cDNA sequence 326 8-5F4-1 Adenoma marker cDNA sequence 327 8-13E-5 Adenoma marker cDNA sequence 328 8-14C-1 Adenoma marker cDNA sequence 329 9-1A-1 Adenoma marker cDNA sequence 330 8-15B2 Adenoma marker cDNA sequence 331 9-18A-2 Adenoma marker cDNA sequence 332 10-4B-3 Adenoma marker cDNA sequence 333 10-10D Adenoma marker cDNA sequence 334 11-12E Adenoma marker cDNA sequence 335 12-2C Adenoma marker cDNA sequence 336 XS81 Adenoma marker cDNA sequence 337 2-5a Adenoma marker cDNA sequence 338 HumregA Adenoma marker cDNA sequence

EXAMPLE 1 Adenoma Collection and RNA Isolation

-   a) Samples of adenoma and normal tissue were obtained from patients     undergoing colonoscopy. A portion from each lesion was allocated for     routine diagnostic pathology analysis and the remainder quick frozen     and stored at −70° C. -   b) RNA was extracted from frozen tissue using a standard guanidine     thiocyanate, acid phenol method. The quality of each RNA preparation     was examined by denaturing agarose gel electrophoresis.     Characterization of Novel Genes -   c) The adenoma cDNA library was prepared in a bacteriophage lambda     vector (λSCREEN-1) using commercially available reagents obtained     from Novagen. Library screening was performed under standard     conditions at 65° C. using 4×SSC hybridization buffer. Filters were     washed twice at 65° C. in 2×SSC for 30 minutes each and then at     65° C. in 0.2×SSC for 15 minutes each. Filters were then exposed to     X-ray film overnight at −70° C. in the presence of one intensifying     screen. Positive plaques were picked, grown up and rescreened under     the same conditions until a homogeneous population emerged. The     inserts from individual phage were then characterized by restriction     enzyme mapping and DNA sequence analysis.     -   In some cases library screening was performed by PCR screening         of pools of library clones using sequence information from the         cloned differential display products to design appropriate         primers. DNA fragments of the predicted size were identified         after gel electrophoresis of the PCR reaction. These bands were         excised from the gel, cloned and sequenced. -   d) Sequence of the 5′ and 3′ ends of selected mRNAs was determined     by the Rapid Amplification of cDNA Ends (RACE) technique using 5-10     μg of total RNA. The FirstChoice kit made by Ambion was used for     these experiments according to the suppliers instructions. -   e) Northern blot analysis was performed with 2 μg of poly(A)+ RNA     which was electrophoresed on a 1% agarose gel containing 1%     formaldehyde. RNA was transferred from the gel to a Hybond N+     membrane (Amersham Pharmacia Biotech) which was then hybridized to     selected probes under conditions described for library screening.

EXAMPLE 2 Differential Display Analysis of Colonic Tissue RNA

-   1. Total RNA (DNAse treated) isolated from up to 32 patient samples     was reverse transcribed with one of 12 anchored primers (AP1-12)     from the set T7dT₁₂VN to generate one of 12 cDNA samples for each     patient sample to be used in subsequent differential display PCR.     -   where:—T7=the last 17 bp of the T7 primer sequence;         -   V=the bases A,C or G         -   N=the bases A,C,G or T -   2. An aliquot of each of up to 32 patient cDNA samples was used in     subsequent PCR's (Using Applied Biosystems Amplitaq Gold) using the     appropriate T7dT₁₂VN primer with one of a series of 20 arbitrary     primers comprising the last 16 bp of an M13 primer sequence followed     by a 10 bp core annealing sequence. -   3. PCR conditions led to 4 cycles of amplification based around core     sequence annealing to cDNA template followed by 25 cycles of PCR in     which amplicons generated in the first four rounds are exponentially     amplified. -   4. α³²P-dATP incorporation into PCR products allowed visualisation     after they had been electrophoresed through a large format     polyacrylamide gel at 850 volts overnight at 50° C. -   5. Gels were then air dried and exposed to X-ray film at room     temperature for 24-36 hours. Film images of gels were then examined     for bands which were more intense in the adenoma samples as compared     to normals. The film was then used as a template to locate the     appropriate region on the dried gel and the required bands excised     with a scalpel blade. -   6. DNA was passively eluted from excised bands in 1×TE solution     overnight (TE=10 mMTris-HCl pH7.4, 1 mM EDTA) -   7. An aliquot of the eluate was then subjected to further rounds of     PCR to generate enough material for cloning and DNA sequence     analysis using Big Dye Terminator (Applied Biosystems) chemistry     according to manufacturers instructions.

EXAMPLE 3 Real Time PCR Confirmation of Differential Display Clones

-   1. Sequences isolated from differential display were compared using     the BLAST algorithm to sequence databases housed on the National     Centre for Biotechnology Information server available on line.     -   Primer sets were then designed for selected sequences so that         accurate measurement of tissue mRNA levels could be determined         by quantitative PCR. Total RNA was reverse transcribed into cDNA         using an oligo(dT) primer and Superscript II (Invitrogen) enzyme         according to standard methods. Each cDNA population was then         analyzed by real time PCR using a Corbett Research Rotorgene         2000 and reagents from a SYBR Green PCR Master Mix kit (Applied         Biosystems). Cycle thresholds were then computed using Rotorgene         2000 version 4.6 software. The fold elevation in the level of         each mRNA was then calculated according to the formula         2^((Nt−Nc)−(Tt−Tc)) where Nt is the cycle threshold for the test         gene observed in the normal tissue, Nc is the cycle threshold         for the control gene observed in the normal tissue, Tt is the         cycle threshold for the test gene in the tumour and Tc is the         cycle threshold for the control gene in the tumour. All         calculations were performed assuming 100 percent efficiency at         each PCR cycle. The control mRNA used to calculate Nc and Tc was         β-actin.

EXAMPLE 4 mRNA Expression Analysis for Colorectal Adenomas Single Marker Analysis

(i) Background

67 mRNA sequences were isolated using differential display analysis. The expression level of the Markers was quantified using QRTPCR in 71 tissue samples (21 normal, 20 Tubular Adenoma, 26 Tubulovillous Adenoma, and 4 Villous Adenoma.) This expression data has been tabulated as “fold increase” in expression levels for each adenoma tissue over the mean expression level of Normal tissues, as previously described.

Two analytical approaches have been used to investigate the diagnostic utility of the Markers in Normal and Adenoma Tissues. First, we explored the upregulation for each Marker across the range of tissues in terms of total fold upregulation. Further, cluster analysis was used to assess the utility of the candidate Markers by identifying subsets of the 67 Markers that correctly discriminate between the Normal and Adenoma tissues. For the purposes of this analysis, “Adenoma” tissue includes all histological grades.

(ii) Results

To analyze the Markers individually we rank-ordered each Marker in terms of three criteria: a) average fold upregulation for Adenoma tissues relative to the average Normal expression level, b) the percentage of disease tissues expressing greater than 5-fold upregulation, and c) the percentage of normal tissues expressing greater than 5-fold upregulation.

Average Upregulation

One diagnostic application using these Markers may be to establish a clinically relevant threshold of over-expression for one or more Markers relative to normal colorectal epithelium expression levels. Twenty-eight (28) Markers were determined to yield a five fold or greater average expression for Adenoma tissues relative to the average expression levels of the Normal tissues. A further twenty-six (26) markers were shown to express an average of 2 to 4 fold over the average normal signal. These Markers are listed in Table 3 and Table 4, respectively.

Percent of Disease Tissues Demonstrating Upregulation

To assess the application “Sensitivity” using individual Markers, each Marker clone was ranked according to the percent of Adenoma tissues that would be identified for a given threshold of expression. Twenty-four (24) Markers were shown to express at least five-fold higher in 50% of individual tissues relative to the average Normal expression level. These Markers are listed in Table 5. Using multiple markers from this list in combination yields a higher apparent sensitivity in terms of the number of diseased tissues included and a higher specificity in terms of the percentage of normal tissues excluded.

Percent of Normal Tissues Demonstrating Upregulation

To assess the “Specificity” for individual Markers, we re-evaluated the marker lists identified in Table 3 and Table 5 in light of expression levels also demonstrated for individual Normal Tissues. For this purpose Table 6 and Table 7 combine the sensitivity measures of Tables 3 and 5 with a threshold value of 5-fold over-expression in any individual Normal tissue. The Tables include all such markers that are upregulated greater than 5 fold in less than 20% of Normal tissues. Twenty-five Markers were shown to yield over 5-fold expression in less than 20% of Normal tissues as shown in Table 6. Of these markers in Table 4, twenty-one (21) were also identified as expressing greater than 5-fold in at least 50% of Adenoma tissues while not over-expressing in greater than 20% of Normal tissues. These Markers are listed in Table 7.

EXAMPLE 5 mRNA Expression Analysis for Colorectal Adenomas Cluster Analysis

Cluster analysis showed that near perfect discrimination (70/71) can be achieved for one set of three markers and six unique sets of four markers.

(i) Methods

This cluster analysis is based on the k-nearest neighbor (KNN) technique described in Li, L., Darden, T., Weinberg, C., Levine, A. and Pedersen, L. (2001) Gene Assssment and Sample classification for gene expression data using a genetic algorithm/k nearest neighbor method. Combinatorial Chemistry & High Throughput Screening, Vol. 4(8), 727-739. whereby a given Tissue (X) is classified according to the class membership of the k tissues nearest to (X) in n-dimensional space described by expression levels of genes in the Marker set. Tissues were considered unclassified (and “missed”) if analysis of the k-nearest neighbors tissues failed to achieve a unanimous result. In this analysis a range of k values was explored (1,2, . . . ,5) and the final results are calculated based k=3. As expected, increasing k values result in lowers numbers of correctly classified tissues.

Successful classification is measured by comparison of the KNN derived tissue class against pathology diagnosis.

The array of expression values for each Marker in each Tissue forms the raw data for cluster analysis.

Diagnostically Useful Marker Sets

A set of markers is determined to be diagnostically useful if that set provides discrimination between tissue classes of interest (e.g. between Normal and Adenoma tissues) across a reasonably large sample of known tissues.

To illustrate this discrimination, it has been shown that the expression levels of two genes, designated clones 8/2d and 11-10a, provide segregation (or classification) between 21 Normal tissues and 50 Adenoma tissues that we have analyzed. Using these two markers, the k-nearest neighbor analysis is able to properly classify 68 out of the total 71 tissues. This classification is demonstrated as follows:

The average level of expression for each marker was calculated relative to the average level of its expression in normal tissue. Each value is then log normalized to give an expression table (Table 8) for the two markers such as:

TABLE 8 Num Tissue ID Type Log (8/2d Fold ↑) Log (11/10a Fold ↑) 1 A1 Norm −0.3180 −1.7505 2 A2 Norm 0.0797 0.3718 3 A3 Norm 0.6337 0.5975 4 A4 Norm 0.4982 0.6487 5 A5 Norm −0.2363 −0.0158 ↓ 69 I5 Adenoma 1.9401 0.4982 70 I6 Adenoma 1.8498 0.4440 71 I7 Adenoma 2.1840 0.3146

In this two-marker analysis, each tissue is therefore specified by the (two dimensional) coordinates described by the log values, e.g. Tissue A1: (−0.0318, −1.7505), A2: (0.0797, 0.3718), . . . , I7: (2.1840, 0.3146). Finally the distance is calculated between each tissue to determine which tissues are “nearest” to each other in terms of the chosen markers. For the two dimensional analysis using just the markers 8/2d and 11/10a, this relationship is conveniently visualized in a Cartesian plot of all tissue data points. This plot is shown in FIG. 1.

Visual inspection of this graph clearly shows the relationship between each tissue, and demonstrates the self-clustering between the Normal tissues and Adenoma tissues.

To measure the utility of unique marker sets to provide class discrimination we have chosen the k-nearest neighbor (KNN) metric, where each data point (tissue) is classified according to its k nearest neighbors in the plot space according to the Euclidean distance formula:

$\begin{matrix} {{A\mspace{14mu}{is}\mspace{14mu} a\mspace{14mu}{point}\mspace{14mu}{described}\mspace{14mu}{by}\mspace{14mu}{the}\mspace{14mu}{vector}},{A = \left\{ {\xi_{1},\xi_{2},\xi_{3},{\ldots\mspace{11mu}\xi_{n}}} \right\}},{and}} \\ {{B\mspace{20mu}{is}\mspace{14mu} a\mspace{14mu}{point}\mspace{14mu}{described}\mspace{14mu}{by}\mspace{11mu}{the}\mspace{14mu}{vector}},{B = \left\{ {\eta_{1},\eta_{2},\eta_{3},{\ldots\mspace{11mu}\eta_{n}}} \right\}},{then}} \end{matrix}$ ${\rho_{E}\left( {A,B} \right)} = {{{A - B}} = {{+ \sqrt{\sum\limits_{i = 1}^{n}\;\left( {\xi_{i} - \eta_{i}} \right)^{2}}}\mspace{14mu}\left( {{positive}\mspace{14mu}{root}\mspace{20mu}{only}} \right)}}$

To assure a robust clustering analysis we have chosen to use a k value of three (3). In other words, each tissue is calculated to belong to the same class as the three nearest data points in the plot. Next, the calculated tissue class is compared to the known tissue class as defined by histopathology to determine whether the KNN classification is correct for that tissue. If the three nearest tissues do not agree (i.e. one of the neighbors is of a different class to the other two) then the tissue is considered unclassified. Finally, the number of correctly classified tissues is totalled to provide a measure of classification strength for that particular set of markers.

In this plot, only three tissue data points, A7, C5, and H1—two presumed normal tissues and one adenoma, are misclassified using markers 8/2d and 11/10a with this KNN rule yielding a diagnostic accuracy of 96% (68/71). These points are highlighted in FIG. 2.

Using this method, larger marker sets were explored in higher dimensions for clustering potential. By evaluating all possible combinations of three marker sets we have identified one set that is 99% (70/71) accurate. In four dimensions we have identified six unique sets that also achieve 99% accuracy. In all cases, one Normal tissue is missed (A7 in 5 cases, and C5 in 1 case) yielding an apparent sensitivity of 100% (50/50) and specificity of 95% (20/21) for these six sets.

It is instructive to note that this classification technique is not simply a reflection of the average fold upregulation for each marker in adenomas relative to normal tissues. In fact, while the first marker of the pair 8/2d shows relatively large upregulation in Adenomas vs. Normals (ranked 4^(th) in the list of 67 markers), tissue 11/10a is not distinguished based on its over-expression alone (ranked 63^(rd) of 67 markers). Further, not all highly over-expressed markers demonstrate strong discriminatory power when analyzed by cluster analysis.

Discussion of Tissue Classes

All clustering analysis experiments discussed here were performed using the complete set of 71 tissues available. As previously stated, no set of Markers is able to correctly classify all Normal tissues (n=21) and all Adenoma tissues (n=51). In fact, two particular Normal tissues, A7 and C5, are frequently missed using the k=3 nearest neighbor rule. The frequency of tissues missed for all 3 and 4 marker sets that achieve ≧69/71 correct classification is shown in FIG. 3.

This finding demonstrates that, in terms of clustering analysis, these two Tissues yield an expression profile that is more typical of adenoma tissues than for the other healthy tissues in this pool. One hypothesis to support this result is that these two tissues are transcribing an adenoma gene profile that proceeds, or is independent of, the morphological changes evident to the examining pathologist by histological analysis. Current theories of colorectal carcinogenesis suggest that the adenoma-carcinoma cycle is proceeded by field defects, precursors to dysplasia. While field defects have been associated with biochemical changes such as altered enzyme levels involved in proliferation, mucosal tissue sections often show no gross or histopathological changes (Young, G., Rozen, P. and Levin, B., Early Detection and Screening for Colorectal Cancer. (1996.) Saunders, N.Y.). Therefore, it is possible that these tissues are, in fact, not normal but rather represent early adenoma development undetected by previous diagnostic techniques.

(ii) Cluster Results by Vector Size

Sets of 2 Markers

Using a brute-force analysis of all 2,211 possible 2-marker combinations, the highest score achieved was 68/71. This score was achieved with exactly 3 unique sets of Markers: (8/2d-11/10a; 12/2f-11/10a; 12/2f-3/16bC4).

Sets of 3 Markers

Analysis of all 47,905 possible 3 marker combinations yields exactly one set of markers able to identify the near perfect score of (70/71.) (See Table 9.) Exactly 6 and 60 sets of three markers were also able to correctly classify 69/71 and 68/71 tissues, respectively. Subsets yielding 69/71 are shown in Table 11.

Sets of 4 Markers

Analysis of the 766,480 possible four marker combinations yields exactly six unique subsets of markers able to correctly classify (70/71) tissues. (See Table 9.) 108 unique sets of four markers were able to correctly classify (69/71) of the tissues. (See Table 13.)

Sets of 5 or Greater Markers

As the problem space for all possible five marker combinations for 67 Markers approaches 10 million, a brute-force analysis of all combinations is not practical. To analyze sets of Markers greater than five elements, a genetic algorithm was used to search the n-dimensional expression landscape for optimum or near optimum Marker sets.

Using this technique Marker sets of 5, 8, 12 and 15 Markers were explored by cluster analysis. In data collected, a number of near perfect (70/71) solution sets have been identified, however no combination has been identified that is able to perfectly classify all 71 markers.

EXAMPLE 6 Summary of Partially or Fully Characterised Adenoma Markers

S100 Calcium Binding Protein P (S100P) (Seq Id Nos: 62 and 63)

-   Genbank accession: NM005980 -   Chromosome location: 4p16     Original Citation:

Becker T, Gerke V, Kube E and Weber K. S100P, a novel Ca(2+)-binding protein from human placenta. cDNA cloning, recombinant protein expression and Ca2+ binding properties. Eur. J. Biochem. 207 (2), 541-547 (1992).

-   Transcript size: 439 bp -   Annotated view: FIG. 4 -   Genbank protein accession: NP005971 -   Protein size: 95aa     Description:

The protein encoded by this gene is a member of the S100 family of proteins containing 2 EF-hand calcium-binding motifs. S100 proteins are localized in the cytoplasm and/or nucleus of a wide range of cells, and are involved in the regulation of cellular processes such as cell cycle progression and differentiation. S100 genes include at least 13 members which are located as a cluster on chromosome 1q21. However, this gene is located at 4p16. This protein, in addition to binding Ca2+, also binds Zn2+ and Mg2+. S100p is up-regulated in inflammatory diseases of the bowel such as Crohn's disease and ulcerative colitis and overexpression has been linked to breast and prostate cancer progression using model systems

Defensin α-6 (Paneth Cell-Specific) (Seq Id No: 49 and 50)

-   Genbank accession: NM001926 -   Chromosome location: 8pter-8p21     Original Citation:

Jones D E and Bevins C L. Defensin-6 mRNA in human Paneth cells: implications for antimicrobial peptides in host defense of the human bowel. FEBS Lett. 315 (2), 187-192 (1993).

-   Annotated view: FIG. 5 -   Transcript size: 475 bp -   Genbank protein accession: NP001917 -   Protein size: 100aa     Description:

Defensins are a family of antimicrobial and cytotoxic peptides thought to be involved in host defense. They are abundant in phagocytic cells of haemopoietic origin and two forms (defensin α-5 and defensin α-6) are found in the secretory granules of Paneth cells in the small intestine. The genes for the haemopoietic and enteric defensins are located in the same region of chromosome 8. The finding of an abundant defensin α-6 mRNA in human Paneth cells supports the notion that these epithelial cells may play a key role in peptide-based host defense of the bowel. Defensin α-6 is overexpressed in Crohn's disease.

Gastric Intrinsic Factor (GIF) (Seq Id No 43 and 44)

-   Genbank accession: NM005142 -   Chromosome location: 11q13     Original Citation:

Hewitt J E, Gordon M M, Taggart R T, Mohandas T K and Alpers D H. Human gastric intrinsic factor: characterization of cDNA and genomic clones and localization to human chromosome 11. Genomics 10 (2), 432-440 (1991)

-   Annotated view: FIG. 6 -   Transcript size: 1584 bp -   Genbank protein accession: NP005133 -   Protein size: 417aa     Description:

Gastric intrinsic factor (GIF) is a glycoprotein secreted by parietal cells of the gastric mucosa. GIF mediates transmembrane transport of Vitamin B₁₂ via receptors that function as oligomers in the plasma membrane. GIF-mediated import of Vitamin B₁₂ is limited to the apical membranes of epithelial cells. Deficiency of GIF results in pernicious anaemia.

Regenerating Protein IV (RegIV) (Seq Id No: 38 and 39)

-   Genbank accession: NM032044 -   Chromosome location: 1q12-q21     Original Citation:

Hartupee J C, Zhang H, Bonaldo M F, Soares M B and Dieckgraefe B K. Isolation and characterization of a cDNA encoding a novel member of the human regenerating protein family: Reg IV(1) Biochem. Biophys. Acta 1518 (3), 287-293 (2001).

-   Annotated view: FIG. 7 -   Transcript size: 1200 bp -   Genbank protein accession: NP114433 -   Protein size: 158aa     Description:

Reg and Reg-related genes constitute a multi-gene family belonging to the calcium (C-type) dependent lectin superfamily. Regenerating gene family members are expressed in the proximal gastrointestinal tract and ectopically at other sites in the setting of tissue injury. Reg IV has a highly restricted tissue expression pattern, with prominent expression in the gastrointestinal tract. Reg IV mRNA expression is significantly up-regulated by mucosal injury from active Crohn's disease or ulcerative colitis. Members of the Reg gene family are known to be up-regulated in colon carcinogenesis.

GW112 Protein (Seq Id No: 60 and 61)

-   Genbank accession: NM006418 -   Chromosome location: 13q14.2     Original Citation:

Shinozaki S, Nakamura T, Iimura M, Kato Y, Iizuka B, Kobayashi M. and Hayashi N. Upregulation of Reg 1alpha and GW112 in the epithelium of inflamed colonic mucosa Gut 48 (5), 623-629 (2001).

-   Annotated view: FIG. 8 -   Transcript size: 2840 bp -   Genbank protein accession: NP006409 -   Protein size: 218aa     Description:

This gene was originally cloned from human myeloblasts and currently its function is unknown. GW112 is selectively expressed in inflamed colonic epithelium.

Claudin-2 (Seq Id No: 2 and 3)

-   Level of overexpression in adenomas: 250-fold -   Genbank accession: NM020384 -   Chromosome location: Xq22.3-23 -   Annotated view: FIG. 9 -   Transcript size: 2782 bp -   Genbank protein accession: NP065117 -   Protein size: 230aa     Description:

The claudins are a large family of transmembrane proteins that are part of the tight junction complex and they regulate epithelial barriers by forming structural components of a paracellular pore. Claudin-2 is found in the tight junctions of kidney, liver and intestine and is also involved in maintaining the blood-CSF barrier. The claudin-2 gene contains binding sites for and can be regulated by intestinal specific Cdx homeodomain proteins.

Solute Carrier Family 12, Member 2 (SLC12A2) (Seq Id No: 66 and 67)

-   Level of overexpression in adenomas: 30-fold -   Genbank accession: NM001046 -   Chromosome location: 5q23.3     Original Citation:

Payne J A, Xu J C, Haas M, Lytle C Y, Ward D and Forbush B. Primary structure, functional expression, and chromosomal localization of the bumetamide-sensitive Na—K—Cl cotransporter in human colon. J. Biol. Chem. 270 (30), 17977-17985 (1995).

-   Annotated view: FIG. 10 -   Transcript size: 4375 bp -   Genbank protein accession: NP001037 -   Protein size: 1212aa     Description:

Members of the solute carrier family are Na—K—Cl cotransporters and are important for the maintenance of water and electrolyte homeostasis and aid trans-cellular movement of sodium, potassium and chloride ions in both secretory and absorptive epithelia. Expression has been observed in the thick ascending limb of the Loop of Henle in mammalian kidney and a diverse array of secretory epithelia including the intestine. It is known to exist in two forms, with polarized membrane distribution, being exclusively basolateral in distribution within secretory epithelia, while in absorptive epithelia it is observed to localise to the apical membrane. It should be noted that the above reference denotes the characterisation of the basolateral isoform of the cotransporter from a human colonic cell line.

Transforming Growth Factor, Beta Induced (TGFBI) (Seq Id No: 56 and 57)

-   Level of overexpression in adenomas: 10-fold -   Genbank accession: NM000358 -   Chromosome location: 5q31     Original Citation:

Skonier J, Neubauer M, Madisen L, Bennett K, Plowman G D and Purchio A F. cDNA cloning and sequence analysis of beta ig-h3, a novel gene induced in a human adenocarcinomna cell line after treatment with transforming growth factor-beta. DNA Cell Biol. 11 (7), 511-522 (1992).

-   Annotated view: FIG. 11 -   Transcript size: 2691 bp -   Genbank protein accession: NP000349 -   Protein size: 683aa     Description:

Transforming growth factor, beta induced (TGFBI) is a protein which is induced in many cell types by TGF-β1 and is probably involved in mediating some of the signals of this growth modulator. TGFBI contains an amino-terminal secretory sequence and a ligand recognition site for several integrins at the carboxy-terminus. The TGFBI gene is located on chromosome 5q31, a region frequently deleted in preleukemic myelodysplasia and leukemia. The retinoblastoma gene protein (RB1) is known to negatively regulate the TGFBI gene as a mechanism to suppress cell growth. TGFBI has previously been shown to be up-regulated ≧20-fold in adenomatous and cancerous colonic epithelium. Six autosomal dominant corneal dystrophies are also caused by mutations in the TGFBI gene.

Transposon L1.1 (Seq Id No: 32, 33 and 34)

-   Level of overexpression in adenomas: 10-fold -   Genbank accession: M80340 -   Chromosome location: not applicable     Original Citation:

Dombroski B A. Mathias S L, Nanthakumar E, Scott A F, Kazazian H H Jr. Isolation of an active human transposable element. Science 254(5039), 1805-1808 (1991).

-   Annotated view: FIG. 12 -   Transcript size: 6075 bp -   Genbank protein accession: CDS1: AAA51621; CDS2: AAA51622 -   Protein size: CDS1: 41aa CDS2: 1275aa     Description:

L1 elements are retrotransposons and number from 20,000 to 50,000 in mammalian genomes making them a major component of highly repetitive DNA. A copy of the L1 element is made by the cellular RNA polymerase and is converted into double stranded DNA by a reverse transcriptase gene contained within the transposon. This copy is then inserted elsewhere in the genome. Transposable elements are thought to play an important role in evolution by creating new mutations and gene combinations and provide a mechanism to rapidly reorganise the genome. L1 elements may also be responsible for abnormal DNA rearrangement leading to carcinogenesis.

Overlapping Transcripts

The following sets of clones have been identified to overlap, at the nucleotide level, in part:

-   1-1d and 1-1g -   11-20e and 3-19e -   2-12f and 3-13e -   8-12b and 5-12a -   11-1 lb and 5-13E and 2-13B -   2-17H and 2-17I-5 -   3-5C-3 and 3-19J-1 and 5-18F-2 and 5-19I

Without limiting the present invention in any way, these overlapping nucleic acids may represent overlapping portions of the same transcript or they may represent the existence of multiple alternative transcripts, such as splice variants.

Those skilled in the art will appreciate that the invention described herein is susceptible to variations and modifications other than those specifically described. It is to be understood that the invention includes all such variations and modifications. The invention also includes all of the steps, features, compositions and compounds referred to or indicated in this specification, individually or collectively, and any and all combinations of any two or more of said steps or features.

TABLE 3 Markers with > 4.5 fold upregulation Rank Clone Name Fold Upregulation 1 8-7bi 296 2 11-10e 246 3 11-5b 141 4 8-2d 50 5 12-2f 45 6 4-14b 33 7 6-12a 30 8 1-6aii 29 9 2-1c 27 10 7-13b 21 11 12-7c 20 12 5-14j 17 13 5-4a 15 14 11-10b 12 15 8-19a 11 16 6-12b 10 17 5-13d 9 18 9-8a 9 19 4-11e 8 20 9-2d 8 21 11-2d 8 22 3-2c 7 23 3-12eclone3 6 24 4-2a 6 25 2-13aclone5 5 26 1-1g 5 27 6-10d 5 28 7-13dclone4 5

TABLE 4 Markers with 1.5-4.5 fold upregulation Fold Rank Clone Name Upregulation 29 9-13c3 4 30 8-12b 4 31 humregA 4 32 9-4gclone5 4 33 2-12eclone8 4 34 7-12a 4 35 2-7gclone4 3 36 1-1d 3 37 9-8g 3 38 6-16a 3 39 11-20e 3 40 3-19e 3 41 2-1g 3 42 4-18d 3 43 3-12a 2 44 9-8f2clone5 2 45 5-2g 2 46 3-5cclone4 2 47 3-16k 2 48 8-17a 2 49 6-18dclone7 2 50 5-2f 2 51 6-17a 2 52 2-10b 2 53 2-12f 2 54 2-5d 2

TABLE 5 Markers with greater than 50% tissues upregulated greater than 5-fold Rank Clone Name % Disease > 5 Fold 1 11-10e 100% 2 11-5b 100% 3 8-2d 100% 4 12-2f 100% 5 8-7bi 96% 6 4-14b 94% 7 5-4a 94% 8 1-6aii 90% 9 6-12a 88% 10 7-13b 86% 11 5-14j 82% 12 2-1c 80% 13 12-7c 80% 14 3-2c 75% 15 11-10b 74% 16 5-13d 74% 17 9-2d 73% 18 9-8a 72% 19 4-11e 69% 20 6-12b 68% 21 8-19a 61% 22 11-2d 60% 23 3-12eclone3 59% 24 4-2a 52%

TABLE 6 Markers overexpressed > 5 fold AND with Normal tissues expressing less than 20% > 5 fold Rank Clone Name Fold Upregulation % Normals > 5 fold 1 11-10e 246 14% 2 11-5b 141 14% 3 8-2d 50 19% 4 12-2f 45 19% 5 4-14b 33 14% 6 6-12a 30 19% 7 1-6aii 29 19% 8 2-1c 27 5% 9 7-13b 21 5% 10 12-7c 20 14% 11 5-14j 17 14% 12 5-4a 15 14% 13 11-10b 12 19% 14 8-19a 11 14% 15 5-13d 9 14% 16 4-11e 8 10% 17 9-2d 8 19% 18 11-2d 8 19% 19 3-2c 7 19% 20 3-12eclone3 6 0% 21 4-2a 6 19% 22 2-13aclone5 5 10% 23 1-1g 5 10% 24 6-10d 5 5% 25 7-13dclone4 5 10%

TABLE 7 Markers over-expressed > 5 fold in at least 50% of Adenoma tissues AND less than 20% of all Normal tissues Rank Clone Name % Disease > 5 fold % Normals > 5 fold 1 11-10e 100% 14% 2 11-5b 100% 14% 3 8-2d 100% 19% 4 12-2f 100% 19% 5 4-14b 94% 14% 6 5-4a 94% 14% 7 1-6aii 90% 19% 8 6-12a 88% 19% 9 7-13b 86% 5% 10 5-14j 82% 14% 11 2-1c 80% 5% 12 12-7c 80% 14% 13 3-2c 75% 19% 14 5-13d 74% 14% 15 11-10b 74% 19% 16 9-2d 73% 19% 17 4-11e 69% 10% 18 8-19a 61% 14% 19 11-2d 60% 19% 20 3-12eclone3 59% 0% 21 4-2a 52% 19%

TABLE 9 Marker sets able to classify 70/71 tissues in groups of 3 & 4. Rank Clone Name 1 8-2d 4-14b 4-18e 2 8-2d 4-14b 6-18dclone7 6-16a 3 8-2d 4-14b 6-18dclone7 5-2g 4 8-2d 4-14b 3-12eclone3 11-10a 5 8-2d 4-14b 4-18e 5-2g 6 8-2d 4-14b 4-18e 2-12f 7 12-2f 4-14b 6-16a 11-10a

TABLE 10 Markers useful for classifying 70/71 in groups of 3 & 4 (rank) Clone Name 1 8-2d (12-2f) 2 4-14b 3 4-18e 4 6-18d Clone 7 5 6-16a 6 5-2g 7 11-10a 8 3-12e Clone 3 (2-12f)

TABLE 11 Marker sets of 3 able to classify 69/71 tissues Rank Clone Name 1 12-2f 9-13c3 3-10eclone6 2 8-2d 9-13c3 3-10eclone6 3 8-2d 9-13c3 8-17a 4 12-2f 4-14b 4-18e 5 8-2d 4-14b 11-10a 6 8-2d 4-14b 6-18dclone7

TABLE 12 Markers Useful for classifying 69/71 tissues in groups of 3 (Rank) Clone Name 9 9-13c3 10 3-10e Clone 6 11 8-17a

TABLE 13 Marker sets of 4 able to classify 69/71 tissues Rank Clone Name 1 8-7bi 8-2d 4-14b 11-10a 2 8-2d 1-6aii 4-14b 6-18dclone7 3 8-2d 1-6aii 4-18d 11-10a 4 8-2d 12-2f 4-14b 6-18dclone7 5 8-2d 12-2f 4-14b 9-8jsclone4 6 8-2d 12-2f 4-14b 4-18e 7 8-2d 12-2f 4-14b 11-10a 8 8-2d 12-2f 2-1c 11-10a 9 8-2d 12-2f 6-18dclone7 6-10d 10 8-2d 12-2f 6-18dclone7 3-10eclone6 11 8-2d 4-14b 2-1c 6-18dclone7 12 8-2d 4-14b 2-1c 4-18e 13 8-2d 4-14b 2-1c 11-10a 14 8-2d 4-14b 6-12b 4-18e 15 8-2d 4-14b 6-12b 11-10a 16 8-2d 4-14b 8-19a 6-18dclone7 17 8-2d 4-14b 8-19a 4-18e 18 8-2d 4-14b 8-19a 11-10a 19 8-2d 4-14b 5-13d 11-10a 20 8-2d 4-14b 4-11e 11-10a 21 8-2d 4-14b 2-13aclone5 6-18dclone7 22 8-2d 4-14b 2-13aclone5 9-8jsclone4 23 8-2d 4-14b 2-13aclone5 4-18e 24 8-2d 4-14b 2-13aclone5 11-10a 25 8-2d 4-14b 6-18dclone7 4-18e 26 8-2d 4-14b 6-18dclone7 2-12f 27 8-2d 4-14b 6-18dclone7 11-10a 28 8-2d 4-14b 6-18dclone7 2-5d 29 8-2d 4-14b 1-1g 11-10a 30 8-2d 4-14b 6-16a 4-18e 31 8-2d 4-14b 6-16a 11-10a 32 8-2d 4-14b 3-12eclone3 9-8jsclone4 33 8-2d 4-14b 3-12eclone3 2-18fclone5 34 8-2d 4-14b 7-13dclone4 11-10a 35 8-2d 4-14b 9-4gclone5 11-10a 36 8-2d 4-14b 8-12b 4-18e 37 8-2d 4-14b 8-12b 11-10a 38 8-2d 4-14b 2-7gclone4 11-10a 39 8-2d 4-14b 4-18e 2-5d 40 8-2d 4-14b 4-18e 8-16b 41 8-2d 4-14b 9-8g 11-10a 42 8-2d 4-14b 5-2g 11-10a 43 8-2d 4-14b 11-20e 11-10a 44 8-2d 4-14b 6-16cclone1 11-10a 45 8-2d 4-14b 2-12f 11-10a 46 8-2d 8-19a 6-18dclone7 1-1d 47 8-2d 8-19a 6-16a 3-10eclone6 48 8-2d 3-2c 6-10d 3-16bclone4 49 8-2d 2-13aclone5 7-13dclone4 3-10eclone6 50 8-2d 6-18dclone7 8-12b 3-10eclone6 51 8-2d 6-10d 3-12eclone3 3-10eclone6 52 8-2d 6-10d 7-13dclone4 3-10eclone6 53 8-2d 6-10d 8-12b 3-16bclone4 54 8-2d 6-10d 9-8g 3-16bclone4 55 8-2d 6-10d 3-10eclone6 2-5d 56 8-2d 3-12eclone3 9-13c3 3-10eclone6 57 8-2d 9-13c3 8-17a 2-12f 58 8-2d 9-13c3 9-8g 3-10eclone6 59 8-2d 9-13c3 2-12f 3-10eclone6 60 8-2d 8-12b 2-12f 3-10eclone6 61 1-6aii 12-2f 4-14b 6-18dclone7 62 1-6aii 12-2f 4-14b 4-18e 63 1-6aii 12-2f 4-14b 11-10a 64 1-6aii 12-2f 8-19a 6-18dclone7 65 1-6aii 12-2f 9-8g 3-10eclone6 66 1-6aii 12-2f 4-18d 11-10a 67 12-2f 4-14b 2-1c 6-18dclone7 68 12-2f 4-14b 2-1c 6-16cclone1 69 12-2f 4-14b 2-1c 11-10a 70 12-2f 4-14b 5-13d 11-10a 71 12-2f 4-14b 4-11e 11-10a 72 12-2f 4-14b 2-13aclone5 11-10a 73 12-2f 4-14b 6-18dclone7 5-2g 74 12-2f 4-14b 6-16a 9-8jsclone4 75 12-2f 4-14b 3-12eclone3 2-18fclone5 76 12-2f 4-14b 3-12eclone3 11-10a 77 12-2f 4-14b 9-13c3 11-10a 78 12-2f 4-14b 8-12b 4-18e 79 12-2f 4-14b 4-18e 5-2g 80 12-2f 4-14b 5-2g 11-10a 81 12-2f 4-14b 11-10a 8-16b 82 12-2f 2-1c 6-10d 3-10eclone6 83 12-2f 11-10b 4-11e 3-16bclone4 84 12-2f 9-2d 11-2d 3-10eclone6 85 12-2f 3-2c 4-11e 3-16bclone4 86 12-2f 5-13d 6-10d 3-10eclone6 87 12-2f 5-13d 3-12eclone3 12-17a 88 12-2f 2-13aclone5 6-10d 4-18e 89 12-2f 2-13aclone5 6-10d 3-16bclone4 90 12-2f 2-13aclone5 7-13dclone4 3-10eclone6 91 12-2f 6-18dclone7 9-13c3 3-16bclone4 92 12-2f 6-18dclone7 9-13c3 2-12f 93 12-2f 6-18dclone7 9-13c3 8-16b 94 12-2f 6-10d 9-13c3 4-18e 95 12-2f 6-10d 7-13dclone4 3-10eclone6 96 12-2f 6-10d 8-12b 3-10eclone6 97 12-2f 6-10d 5-2g 3-10eclone6 98 12-2f 6-10d 3-16bclone4 3-10eclone6 99 12-2f 3-12eclone3 9-13c3 3-10eclone6 100 12-2f 3-12eclone3 4-17d 3-10eclone6 101 12-2f 9-13c3 7-13dclone4 3-10eclone6 102 12-2f 9-13c3 8-12b 3-10eclone6 103 12-2f 9-13c3 9-8g 3-10eclone6 104 12-2f 9-13c3 5-2g 3-10eclone6 105 12-2f 9-13c3 2-12f 3-10eclone6 106 12-2f 9-13c3 2-12f 11-10a 107 12-2f 7-13dclone4 4-18e 9-8g 108 12-2f 7-13dclone4 9-8g 3-10eclone6

TABLE 14 Markers Useful for classifying 69/71 tissues in groups of 4 (rank) Clone Name 12 6-10d 13 2-13a Clone 5 14 1-6a ii 15 2-1c 16 7-13d Clone 4 17 8-12b 18 3-16b Clone 4 19 9-8g 20 8-19a 21 5-13d (4-11e) 22 9-8js Clone4 23 2-5d 24 8-16b 25 6-12b 26 3-2c (11-10b, 9-2d, 11- 2d) 27 4-18d 28 2-18f Clone 5 29 6-16c Clone 1 30 8-7 bi 31 1-1g 32 9-4g Clone5 33 2-7g Clone 4 34 1-1d 35 11-20e 36 4-17d 37 12-17a

TABLE 15 Marker sets of 3 that provide perfect classification of all tissues (69/69) Rank Clone Name 1  8-2d 5-13d 3-10eClone6 2  8-2d 4-11e 3-10eClone6 3  8-2d 6-10d 3-10eClone6 4  8-2d 9-13c3 3-10eClone6 5 12-2f 5-13d 3-10eClone6 6 12-2f 4-11e 3-10eClone6 7 12-2f 2-13aclone5 3-10eClone6 8 12-2f 4-14b 3-10eClone6

BIBLIOGRAPHY

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The invention claimed is:
 1. A method for determining an increased likelihood of the presence of colorectal adenoma in a human, said method comprising measuring the level of an mRNA which comprises the RNA equivalent of SEQ ID NO: 7 in a gastrointestinal tract sample from said human and determining an increased likelihood of the presence of colorectal adenoma when the level of said mRNA is increased in said human relative to the normal level of said mRNA in gastrointestinal tract samples from healthy individuals.
 2. A method for determining an increased likelihood of the presence of colorectal adenoma in a human, said method comprising measuring the level of an mRNA which comprises the RNA equivalent of SEQ ID NO: 7 in a gastrointestinal tract sample from said human; detecting the expression of at least one nucleic acid molecule in a blood, serum, stool or gastrointestinal tract sample, wherein said at least one nucleic acid molecule is selected from the following: (i) nucleic acid molecules comprising a nucleotide sequence as set forth in any one of SEQ ID NOs: 1-2, SEQ ID NOs: 4-6, SEQ ID NOs: 8-32, SEQ ID NOs: 35-37, SEQ ID NO: 38, SEQ ID NOs: 40-43, SEQ ID NOs: 45-49, SEQ ID NOs: 51-56, SEQ ID NOs: 58-60, SEQ ID NO: 62, SEQ ID NOs: 64-66, SEQ ID NOs: 68-72 or SEQ ID NOs: 337-338; or (ii) a nucleic acid molecule comprising a nucleotide sequence complementary to any one or more of the sequences of (i); and determining an increased likelihood of the presence of colorectal adenoma when the level of said mRNA is increased in said human relative to the normal level of said mRNA in gastrointestinal tract samples from healthy individuals and when the expression of said at least one nucleic acid molecule is detected.
 3. The method according to claim 2, wherein said at least one nucleic acid molecule includes two nucleic acid molecules which comprise a nucleotide sequence selected from the group consisting of SEQ ID NO: 14, SEQ ID NO: 16, SEQ ID NO: 24, SEQ ID NO: 65, SEQ ID NO: 19, SEQ ID NO: 1, SEQ ID NO: 53, SEQ ID NO: 72, SEQ ID NO: 11 and SEQ ID NO:
 26. 4. The method according to claim 3, wherein said two nucleic acid molecules comprise the following nucleotide sequences, respectively: (i) SEQ ID NO: 72 and SEQ ID NO: 11; (ii) SEQ ID NO: 72 and SEQ ID NO: 26; (iii) SEQ ID NO: 14 and SEQ ID NO: 16; (iv) SEQ ID NO: 14 and SEQ ID NO: 1; (v) SEQ ID NO: 14 and SEQ ID NO: 24; or (vi) SEQ ID NO: 14 and SEQ ID NO:
 16. 5. The method according to claim 2, wherein said at least one nucleic acid molecule includes two nucleic acid molecules which comprise the following nucleotide sequences, respectively: (i) SEQ ID NO: 56 and SEQ ID NO: 11; (ii) SEQ ID NO: 64 and SEQ ID NO: 11; (iii) SEQ ID NO: 72 and SEQ ID NO: 11; (iv) SEQ ID NO: 9 and SEQ ID NO: 11; or (v) SEQ ID NO: 14 and SEQ ID NO:
 11. 6. The method according to claim 2, wherein said at least one nucleic acid molecule includes three nucleic acid molecules which comprise a nucleotide sequence selected from the group consisting of SEQ ID NOs: 4-6, SEQ ID NO: 9, SEQ ID NO: 13, SEQ ID NO: 15, SEQ ID NOs: 21-22, SEQ ID NOs: 27-29, SEQ ID NOs: 30-31, SEQ ID NO: 36, SEQ ID NOs: 37-38, SEQ ID NO: 40, SEQ ID NO: 43, SEQ ID NOs: 48-49, SEQ ID NO: 52, SEQ ID NO: 56, SEQ ID NO: 59, SEQ ID NO: 64, SEQ ID NOs: 68-69, SEQ ID NO: 71 and SEQ ID NO:
 337. 7. The method according to claim 2, wherein said at least one nucleic acid molecule includes three nucleic acid molecules which comprise the following nucleotide sequences, respectively: (i) SEQ ID NO: 14, SEQ ID NO: 24 and SEQ ID NO: 65; (ii) SEQ ID NO: 14, SEQ ID NO: 24 and SEQ ID NO: 19; (iii) SEQ ID NO: 14, SEQ ID NO: 53 and SEQ ID NO: 1; (iv) SEQ ID NO: 14, SEQ ID NO: 16 and SEQ ID NO: 19; (v) SEQ ID NO: 14, SEQ ID NO: 16 and SEQ ID NO: 46; or (vi) SEQ ID NO: 14, SEQ ID NO: 65 and SEQ ID NO:
 1. 8. The method according to claim 2, wherein said at least one nucleic acid molecule includes at least three nucleic acid molecules which comprise the following nucleotide sequences, respectively: (i) SEQ ID NO: 30, SEQ ID NO: 14 and SEQ ID NO: 1; (ii) SEQ ID NO: 43, SEQ ID NO: 14 and SEQ ID NO: 24; (iii) SEQ ID NO: 43, SEQ ID NO: 59 and SEQ ID NO: 1; (iv) SEQ ID NO: 14, SEQ ID NO: 49 and SEQ ID NO: 24; (v) SEQ ID NO: 14, SEQ ID NO: 49 and SEQ ID NO: 16; (vi) SEQ ID NO: 14, SEQ ID NO: 49 and SEQ ID NO: 1; (vii) SEQ ID NO: 14, SEQ ID NO: 21 and SEQ ID NO: 16; (viii) SEQ ID NO: 14, SEQ ID NO: 21 and SEQ ID NO: 1; (ix) SEQ ID NO: 14, SEQ ID NOs: 27-29 and SEQ ID NO: 24; (x) SEQ ID NO: 14, SEQ ID NOs: 27-29 and SEQ ID NO: 16; (xi) SEQ ID NO: 14, SEQ ID NOs: 27-29 and SEQ ID NO: 1; (xii) SEQ ID NO: 14, SEQ ID NO: 56 and SEQ ID NO: 1; (xiii) SEQ ID NO: 14, SEQ ID NO: 9 and SEQ ID NO: 24; (xiv) SEQ ID NO: 14, SEQ ID NO: 9 and SEQ ID NO: 37; (xv) SEQ ID NO: 14, SEQ ID NO: 9 and SEQ ID NO: 16; (xvi) SEQ ID NO: 14, SEQ ID NO: 9 and SEQ ID NO: 1; (xvii) SEQ ID NO: 14, SEQ ID NO: 24 and SEQ ID NO: 16; (xviii) SEQ ID NO: 14, SEQ ID NO: 24 and SEQ ID NO: 46; (xix) SEQ ID NO: 14, SEQ ID NO: 24 and SEQ ID NO: 1; or (xx) SEQ ID NO: 14, SEQ ID NO: 24 and SEQ ID NO:
 337. 9. The method according to claim 2, wherein said at least one nucleic acid molecule includes at least three nucleic acid molecules which comprise the following nucleotide sequences, respectively: (i) SEQ ID NO: 14, SEQ ID NO: 5 and SEQ ID NO: 1; (ii) SEQ ID NO: 14, SEQ ID NO: 65 and SEQ ID NO: 16; (iii) SEQ ID NO: 14, SEQ ID NO: 65 and SEQ ID NO: 1; (iv) SEQ ID NO: 14, SEQ ID NO: 53 and SEQ ID NO: 37; (v) SEQ ID NO: 14, SEQ ID NO: 53 and SEQ ID NO: 48; (vi) SEQ ID NO: 14, SEQ ID NO: 68 and SEQ ID NO: 1; (vii) SEQ ID NO: 14, SEQ ID NO: 31 and SEQ ID NO: 1; (viii) SEQ ID NO: 14, SEQ ID NO: 69 and SEQ ID NO: 16; (ix) SEQ ID NO: 14, SEQ ID NO: 69 and SEQ ID NO: 1; (x) SEQ ID NO: 14, SEQ ID NO: 52 and SEQ ID NO: 1; (xi) SEQ ID NO: 14, SEQ ID NO: 16 and SEQ ID NO: 337; (xii) SEQ ID NO: 14, SEQ ID NO: 16 and SEQ ID NO: 71; (xiii) SEQ ID NO: 14, SEQ ID NO: 36 and SEQ ID NO: 1; (xiv) SEQ ID NO: 14, SEQ ID NO: 19 and SEQ ID NO: 1; (xv) SEQ ID NO: 14, SEQ ID NO: 40 and SEQ ID NO: 1; (xvi) SEQ ID NO: 14, SEQ ID NO: 22 and SEQ ID NO: 1; (xvii) SEQ ID NO: 14, SEQ ID NO: 46 and SEQ ID NO: 1; (xviii) SEQ ID NOs: 27-29, SEQ ID NO: 24 and SEQ ID NO: 4; (xix) SEQ ID NOs: 27-29, SEQ ID NO: 65 and SEQ ID NO: 11; or (xx) SEQ ID NO: 38, SEQ ID NO: 64 and SEQ ID NO:
 13. 10. The method according to claim 2, wherein said at least one nucleic acid molecule includes at least three nucleic acid molecules which comprise the following nucleotide sequences, respectively: (i) SEQ ID NO: 9, SEQ ID NO: 68 and SEQ ID NO: 11; (ii) SEQ ID NO: 24, SEQ ID NO: 69 and SEQ ID NO: 11; (iii) SEQ ID NO: 64, SEQ ID NO: 53 and SEQ ID NO: 11; (iv) SEQ ID NO: 64, SEQ ID NO: 68 and SEQ ID NO: 11; (v) SEQ ID NO: 64, SEQ ID NO: 69 and SEQ ID NO: 13; (vi) SEQ ID NO: 64, SEQ ID NO: 36 and SEQ ID NO: 13; (vii) SEQ ID NO: 64, SEQ ID NO: 11 and SEQ ID NO: 337; (viii) SEQ ID NO: 53, SEQ ID NO: 72 and SEQ ID NO: 11; (ix) SEQ ID NO: 72, SEQ ID NO: 26 and SEQ ID NO: 46; (x) SEQ ID NO: 72, SEQ ID NO: 36 and SEQ ID NO: 11; (xi) SEQ ID NO: 72, SEQ ID NO: 46 and SEQ ID NO: 11; (xii) SEQ ID NO: 69, SEQ ID NO: 46 and SEQ ID NO: 11; (xiii) SEQ ID NO: 43, SEQ ID NO: 14 and SEQ ID NO: 24; (xiv) SEQ ID NO: 43, SEQ ID NO: 14 and SEQ ID NO: 16; (xv) SEQ ID NO: 43, SEQ ID NO: 14 and SEQ ID NO: 1; (xvi) SEQ ID NO: 43, SEQ ID NOs: 27-29 and SEQ ID NO: 24; (xvii) SEQ ID NO: 43, SEQ ID NO: 36 and SEQ ID NO: 11; (xviii) SEQ ID NO: 43, SEQ ID NO: 59 and SEQ ID NO: 1; (xix) SEQ ID NO: 14, SEQ ID NO: 49 and SEQ ID NO: 24; or (xx) SEQ ID NO: 14, SEQ ID NO: 49 and SEQ ID NO:
 22. 11. The method according to claim 2, wherein said at least one nucleic acid molecule includes three nucleic acid molecules which comprise the following nucleotide sequences, respectively: (i) SEQ ID NO: 14, SEQ ID NO: 49 and SEQ ID NO: 1; (ii) SEQ ID NO: 14, SEQ ID NO: 56 and SEQ ID NO: 1; (iii) SEQ ID NO: 14, SEQ ID NO: 56 and SEQ ID NO: 1; (iv) SEQ ID NO: 14, SEQ ID NO: 9 and SEQ ID NO: 1; (v) SEQ ID NO: 14, SEQ ID NO: 24 and SEQ ID NO: 19; (vi) SEQ ID NO: 14, SEQ ID NO: 65 and SEQ ID NO: 37; (vii) SEQ ID NO: 14, SEQ ID NO: 53 and SEQ ID NO: 48; (viii) SEQ ID NO: 14, SEQ ID NO: 53 and SEQ ID NO: 1; (ix) SEQ ID NO: 14, SEQ ID NO: 72 and SEQ ID NO: 1; (x) SEQ ID NO: 14, SEQ ID NO: 69 and SEQ ID NO: 16; (xi) SEQ ID NO: 14, SEQ ID NO: 16 and SEQ ID NO: 19; (xii) SEQ ID NO: 14, SEQ ID NO: 19 and SEQ ID NO: 1; (xiii) SEQ ID NO: 14, SEQ ID NO: 1 and SEQ ID NO: 71; (xiv) SEQ ID NO: 49, SEQ ID NO: 64 and SEQ ID NO: 11; (xv) SEQ ID NO: 38, SEQ ID NO: 56 and SEQ ID NO: 13; (xvi) SEQ ID NO: 38, SEQ ID NO: 56 and SEQ ID NO: 13; (xvii) SEQ ID NO: 56, SEQ ID NO: 64 and SEQ ID NO: 11; (xviii) SEQ ID NO: 56, SEQ ID NO: 53 and SEQ ID NO: 6; (xix) SEQ ID NO: 9, SEQ ID NO: 64 and SEQ ID NO: 16; or (xx) SEQ ID NO: 9, SEQ ID NO: 64 and SEQ ID NO:
 13. 12. The method according to claim 2, wherein said at least one nucleic acid molecule includes three nucleic acid molecules which comprise the following nucleotide sequences, respectively: (i) SEQ ID NO: 9, SEQ ID NO: 68 and SEQ ID NO: 11; (ii) SEQ ID NO: 24, SEQ ID NO: 72 and SEQ ID NO: 13; (iii) SEQ ID NO: 24, SEQ ID NO: 72 and SEQ ID NO: 46; (iv) SEQ ID NO: 24, SEQ ID NO: 72 and SEQ ID NO: 71; (v) SEQ ID NO: 64, SEQ ID NO: 72 and SEQ ID NO: 16; (vi) SEQ ID NO: 64, SEQ ID NO: 68 and SEQ ID NO: 11; (vii) SEQ ID NO: 64, SEQ ID NO: 69 and SEQ ID NO: 11; (viii) SEQ ID NO: 64, SEQ ID NO: 19 and SEQ ID NO: 11; (ix) SEQ ID NO: 64, SEQ ID NO: 13 and SEQ ID NO: 11; (x) SEQ ID NO: 53, SEQ ID NO: 72 and SEQ ID NO: 11; (xi) SEQ ID NO: 53, SEQ ID NO: 15 and SEQ ID NO: 11; (xii) SEQ ID NO: 72, SEQ ID NO: 68 and SEQ ID NO: 11; (xiii) SEQ ID NO: 72, SEQ ID NO: 69 and SEQ ID NO: 11; (xiv) SEQ ID NO: 72, SEQ ID NO: 36 and SEQ ID NO: 11; (xv) SEQ ID NO: 72, SEQ ID NO: 19 and SEQ ID NO: 11; (xvi) SEQ ID NO: 72, SEQ ID NO: 46 and SEQ ID NO: 11; (xvii) SEQ ID NO: 72, SEQ ID NO: 46 and SEQ ID NO: 1; (xviii) SEQ ID NO: 68, SEQ ID NO: 16 and SEQ ID NO: 36; or (xix) SEQ ID NO: 68, SEQ ID NO: 36 and SEQ ID NO:
 11. 13. The method according to claim 2 wherein said detecting is directed to the expression product of said at least one nucleic acid molecule.
 14. The method according to any one of claims 1 to 13, wherein said colorectal adenoma is a tubular adenoma, tubulovillous adenoma or villous adenoma. 